CMS Price Transparency Data

Blood transfusion

Facility: Mary Lanning Healthcare

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $272
Cash Discount Price: $846
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Mary Lanning Healthcare is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $846. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.60x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$846

Average discount available for prompt cash payment at this facility.

Insurance Median

$272

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: $846 (188%)

Insurance Median: $272 (60%)

Cash: $846 (188% of Medicare)

Ins. Median: $272 (60% 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
Aetna	$36 - $1,543	8%
Tricare	$41 - $431	9%
Blue Cross Blue Shield	$43 - $1,753	10%
Medica Mcr Adv	$43 - $458	10%
Ne Total Care Mcr Adv	$43 - $458	10%
UnitedHealthcare	$43 - $1,666	10%
Va Ccn - All Plans	$43 - $458	10%
Consociate Inc-All Plans	$67 - $1,473	15%
Ambetter / Centene	$71 - $2,062	16%
Midlands Choice-All Plans	$74 - $1,578	16%
Medica-All Other Plans	$76 - $1,525	17%
Workers Compensation-All Plans	$80 - $1,718	18%
Nhn/Mna-All Plans	$82 - $1,420	18%
Multiplan-All Plans	$113 - $1,666	25%
Provider Network Of America-All Plans	$113 - $1,578	25%

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 $846.
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 Mary Lanning Healthcare 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.