CMS Price Transparency Data

Blood transfusion

Facility: Mountainview Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $911
Cash Discount Price: $1,446
vs. Medicare Baseline: 2.02x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Mountainview Hospital is $911. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,446. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.02x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$1,446

Average discount available for prompt cash payment at this facility.

Insurance Median

$911

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: $1,446 (321%)

Insurance Median: $911 (202%)

Cash: $1,446 (321% of Medicare)

Ins. Median: $911 (202% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Care Health	$32	7%
Molina Healthcare	$32 - $34	7%
Sierra Hpn	$32	7%
Caresource	$34	8%
United	$288 - $1,982	64%
Ambetter / Centene	$304 - $2,626	67%
Select Health	$312 - $5,307	69%
Cigna	$324 - $6,461	72%
Aetna	$369 - $1,713	82%
Prominence Healthfirst	$434	96%
Cmn Global	$607	135%
Emerging Therapy Solutions	$709 - $969	157%
Hometown Health Providers	$723	160%
Nv Health & Welfare Trust	$868	193%
Multiplan	$911 - $1,056	202%
First Health	$954 - $1,157	212%
Medcare International	$1,084	240%
Olympus Medsave Usa	$1,084	240%
Sierra	$1,671	371%
Blue Cross Blue Shield	$2,976 - $3,720	660%
Health Services Coalition	$3,866	858%

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 $1,446.
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 Mountainview 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.