CMS Price Transparency Data

Blood transfusion

Facility: Renown South Meadows Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $866
Cash Discount Price: $1,836
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Renown South Meadows Medical Center is $866. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,836. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.92x the Medicare baseline. Located in 10101 Double R Blvd, Reno, NV.

Cash / Self-Pay

$1,836

Average discount available for prompt cash payment at this facility.

Insurance Median

$866

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: $1,836 (407%)

Insurance Median: $866 (192%)

Cash: $1,836 (407% of Medicare)

Ins. Median: $866 (192% 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
Molina Healthcare Of Nevada	$32 - $1,133	7%
Caresource Network Partners	$33	7%
Hpn	$42	9%
Blue Cross Blue Shield	$68 - $1,529	15%
Aetna	$126 - $1,201	28%
UnitedHealthcare	$332 - $1,705	74%
Hometown Health	$383 - $1,836	85%
Health Net Federal Services	$627	139%
Naphcare	$676 - $723	150%
Integrated Medical Solutions	$874 - $892	194%
Silversummit Healthplan	$918	204%
Union Trust Funds	$1,180	262%
Cigna	$1,474	327%
Health Plan Of Nevada	$1,548	343%
Prominence Health First	$1,548	343%

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 $1,836.
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 Renown South Meadows Medical Center 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.