CMS Price Transparency Data

Blood transfusion

Facility: Great Plains Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $335
Cash Discount Price: $367
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Great Plains Health is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.74x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$367

Average discount available for prompt cash payment at this facility.

Insurance Median

$335

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: $367 (81%)

Insurance Median: $335 (74%)

Cash: $367 (81% of Medicare)

Ins. Median: $335 (74% 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
Nebraska Total Care	$47 - $455	10%
Molina	$52 - $496	12%
Blue Cross Blue Shield	$78 - $967	17%
Midwest Network Alliance	$109 - $953	24%
Midlands Choice	$118 - $1,016	26%
Medica	$120 - $1,006	27%
Oscar Health	$121 - $1,016	27%
Coventry	$122 - $1,038	27%
Geha	$122 - $1,027	27%
Mutual Of Omaha	$124 - $1,038	28%
UnitedHealthcare	$124 - $1,038	28%
Ambetter / Centene	$215 - $2,068	48%

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 $367.
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 Great Plains Health 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.