Blood transfusion
Facility: Liberty Hospital
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $682
- Cash Discount Price: $521
- vs. Medicare Baseline: 1.51x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $450.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $41 - $1,892 | 9% |
| Humana | $358 - $393 | 79% |
| Aetna | $385 - $2,736 | 85% |
| Cigna | $385 - $545 | 85% |
| UnitedHealthcare | $385 - $636 | 85% |
| Medicare (plans) | $389 - $424 | 86% |
| Healthy Blue | $413 | 92% |
| Ambetter / Centene | $489 | 108% |
| Home State Health | $565 | 125% |
| Fox Everett | $1,106 | 245% |
| Phcs | $1,383 | 307% |
| Multiplan | $1,531 | 340% |
Consumer Guidance & Cost Commentary
For this blood transfusion procedure at Liberty Hospital in Liberty, Missouri, the cash payment rate of $521 is the most significant benchmark for consumers, as it is substantially lower than the hospital's full gross charge of $1,844. While the facility's negotiated rate for in-network insurance is $682, which is higher than the cash price, patients should be aware that commercial rates often include administrative overhead and contract dynamics that can inflate costs. The facility's cash rate of $521 is notably lower than the national average for this service, which is approximately $521, making it a competitive option for those without insurance or with high-deductible plans where the insurance allowed amount might exceed the cash price.
The Medicare benchmark for this procedure is $450.73, and the negotiated rate of $682 represents a 1.5x markup relative to this federal baseline, which aligns with the typical range where commercial rates average 200% to 300% of Medicare. Liberty Hospital, a voluntary non-profit acute care facility in Missouri, offers a cash payment option of $521, which is slightly above the Medicare amount but below the negotiated insurance rate. Consumers should verify their specific plan details before scheduling, as some high-deductible plans may result in higher out-of-pocket costs if the insurance negotiated rate exceeds the cash price. It is also recommended to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can provide additional fee reductions for upfront payments.