CMS Price Transparency Data

Blood transfusion

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $861
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Intermountain Health St Vincent Regional Hospital is $861. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.91x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$861

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%)

Insurance Median: $861 (191%)

Ins. Median: $861 (191% 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
Medicare (plans)	$437	97%
UnitedHealthcare	$446 - $995	99%
First Choice Health	$579 - $966	128%
Other	$579 - $966	128%
Exchange Other	$656 - $930	146%
Mt Health Co-Op	$656 - $930	146%
Ebms-Employee Benefit Mng	$667 - $1,049	148%
Meritain Health	$667 - $809	148%
Aetna	$689	153%
Allegiance	$741 - $1,202	164%
Cigna	$741 - $973	164%
Blue Cross Blue Shield	$812 - $907	180%
Sibanye Stillwater Health Partners	$831	184%
Coastal Administrative Services	$874	194%
Preferred One	$929 - $1,005	206%
Interwest	$973	216%
Pacificsource	$973 - $1,093	216%
Private Hlthcare Sys	$984	218%
Geha	$995	221%
Pacific Steel And Recycling	$1,093	242%

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 $X.
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 Intermountain Health St Vincent Regional Hospital 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.