CMS Price Transparency Data

Blood transfusion

Facility: Desert View Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $602
Cash Discount Price: $936
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Desert View Hospital is $602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $936. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.34x the Medicare baseline. Located in 360 South Lola Lane, Pahrump, NV.

Cash / Self-Pay

$936

Average discount available for prompt cash payment at this facility.

Insurance Median

$602

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: $936 (208%)

Insurance Median: $602 (134%)

Cash: $936 (208% of Medicare)

Ins. Median: $602 (134% 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
Amerigroup	$32	7%
Silversummit	$32	7%
Smartchoice	$32	7%
Sr.Careplus	$151 - $597	34%
Humana	$174 - $2,240	39%
Ambetter / Centene	$264 - $1,046	59%
Hpn	$301 - $1,191	67%
Sierra	$301 - $1,191	67%
UnitedHealthcare	$301 - $1,669	67%
Cigna	$476 - $1,886	106%
Beechstreet	$566 - $2,241	126%
Coventry	$566 - $2,241	126%
Multiplan	$566 - $2,241	126%
Prominence	$566 - $2,241	126%
Aetna	$602 - $2,384	134%
Affiliated	$707 - $2,801	157%
Blue Cross Blue Shield	$805 - $3,189	179%

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 $936.
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 Desert View 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.