CMS Price Transparency Data

Blood transfusion

Facility: Howard County Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $558
  • Cash Discount Price: $744
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Howard County Medical Center is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.24x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$744

Average discount available for prompt cash payment at this facility.

Insurance Median
$558

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: $744 (165%)
Insurance Median: $558 (124%)
Cash: $744 (165% of Medicare)
Ins. Median: $558 (124% 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.

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
Humana $32 - $38 7%
Aetna $38 - $930 8%
Blue Cross Blue Shield $38 - $930 8%
Great Plains $38 - $558 8%
Medica Chi $38 - $558 8%
Medica Elevate $38 - $74 8%
Medica Standard Premier $38 8%
Tricare $38 - $734 8%
UnitedHealthcare $38 - $940 8%
Nebraska Total Care - Wellcare $39 9%
Molina Healthcare $40 - $490 9%
Oscar Health $66 15%
Ambetter / Centene $75 17%
Beshp $75 17%
Midland'S Choice $77 17%
Nebraska Total Care $372 - $490 83%
Medica Chi Aco $677 - $891 150%
Medica Choice National $677 - $891 150%
Medica Ifb Aco $714 - $940 158%
Medica Ifb Open Access $714 - $940 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals