CMS Price Transparency Data

Blood transfusion

Facility: Kearney County Health Services Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $516
Cash Discount Price: $607
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Kearney County Health Services Hospital is $516. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.14x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$607

Average discount available for prompt cash payment at this facility.

Insurance Median

$516

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: $607 (135%)

Insurance Median: $516 (114%)

Cash: $607 (135% of Medicare)

Ins. Median: $516 (114% 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
Blue Cross Blue Shield	$94 - $732	21%
Medica	$94 - $2,607	21%
Humana	$103 - $732	23%
UnitedHealthcare	$103 - $1,264	23%
Total Care	$104 - $753	23%
Aetna	$108 - $2,527	24%
Great Plains	$108 - $768	24%
Healthy Blue	$108 - $768	24%
Multiplan	$183 - $1,303	41%
Healthnet	$187 - $1,330	41%
Triwest	$187 - $1,330	41%
Molina	$193 - $1,370	43%
Private Healthcare Systems And Multiplan	$308 - $2,187	68%

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 $607.
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 Kearney County Health Services 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.