CMS Price Transparency Data

Blood transfusion

Facility: Regional West Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $481
Cash Discount Price: $802
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Regional West Medical Center is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $802. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.07x the Medicare baseline. Located in 4021 Ave B, Scottsbluff, NE.

Cash / Self-Pay

$802

Average discount available for prompt cash payment at this facility.

Insurance Median

$481

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: $802 (178%)

Insurance Median: $481 (107%)

Cash: $802 (178% of Medicare)

Ins. Median: $481 (107% 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	$43 - $1,242	10%
Humana	$43 - $458	10%
Medica	$43 - $1,136	10%
Medica Cost	$45 - $481	10%
Wellcare	$45 - $481	10%
Naphcare	$65 - $687	14%
UnitedHealthcare	$67 - $1,202	15%
Cigna	$76 - $1,202	17%
Rci Insurance Group	$76 - $1,122	17%
Blue Cross Blue Shield	$77 - $1,069	17%
Ambetter / Centene	$82 - $687	18%
Winhealth	$82 - $1,136	18%

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 $802.
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 Regional West 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.