CMS Price Transparency Data

Blood transfusion

Facility: Sunrise Hospital and Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $47
  • Cash Discount Price: $242
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Sunrise Hospital and Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.10x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$242

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $242 (54%)
Insurance Median: $47 (10%)
Cash: $242 (54% of Medicare)
Ins. Median: $47 (10% 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
Amerigroup $21 - $39 5%
Health Plan Nevada $21 - $41 5%
Molina $22 - $43 5%
Silver Summit $22 - $52 5%
Humana $28 - $45 6%
Community Care Health $32 7%
Molina Healthcare $32 - $34 7%
Sierra Hpn $32 7%
Caresource $34 8%
Blue Cross Blue Shield $36 - $3,720 8%
Culinary Health Fund $40 - $62 9%
Healthcare Partners Of Nv $41 - $55 9%
Aetna $42 - $1,706 9%
Alignment Health Plan $42 9%
United $42 - $1,982 9%
Caremore $44 10%
Cigna $47 - $6,461 10%
Sierra $47 - $1,752 10%
Hometown Health Providers $48 - $728 11%
Multiplan $55 - $1,064 12%
Select Health $75 - $5,307 17%
Legacy Provider Network $99 22%
Corvel $104 23%
Comp-Med Workers Comp $107 24%
Olympus Medsave Usa $110 - $1,093 24%
Ambetter / Centene $306 - $2,626 68%
Prominence Healthfirst $437 97%
Cmn Global $612 136%
Nv Health & Welfare Trust $874 194%
First Health $962 - $1,166 213%
Medcare International $1,093 242%
Health Services Coalition $3,717 - $3,866 825%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals