CMS Price Transparency Data

Blood transfusion

Facility: Cass Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $322
Cash Discount Price: $433
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Cass Regional Medical Center is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.71x the Medicare baseline. Located in 2800 E Rock Haven Road, Harrisonville, MO.

Cash / Self-Pay

$433

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)

Cash / Self-Pay: $433 (96%)

Insurance Median: $322 (71%)

Cash: $433 (96% of Medicare)

Ins. Median: $322 (71% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$61 - $193	14%
UnitedHealthcare	$117 - $1,160	26%
Blue Cross Blue Shield	$140 - $354	31%
Ambetter / Centene	$191 - $263	42%
Humana	$224 - $381	50%
Oscar	$233 - $322	52%
Ivl/Carelink	$253 - $349	56%
Aetna	$282 - $579	63%
Wppa Unified Health Plan	$350 - $482	78%
Multiplan	$392 - $540	87%
Coventry Leased	$452 - $623	100%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $433.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cass Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.