CMS Price Transparency Data

Blood transfusion

Facility: Banner Churchill Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $838
Cash Discount Price: $345
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Banner Churchill Community Hospital is $838. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.86x the Medicare baseline. Located in 801 East Williams Avenue, Fallon, NV.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$838

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: $345 (77%)

Insurance Median: $838 (186%)

Cash: $345 (77% of Medicare)

Ins. Median: $838 (186% 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
Aetna	$227 - $1,231	50%
Banner Health	$279 - $419	62%
Hometown Health	$279 - $1,244	62%
Silversummit Healthplan	$279 - $1,179	62%
Triwest Healthcare Alliance Corp - Va Ccn	$279 - $537	62%
UnitedHealthcare	$279 - $1,179	62%
Humana	$296 - $444	66%
Nevada Preferred Healthcare Providers	$786 - $1,179	174%
Blue Cross Blue Shield	$803 - $1,205	178%
Multiplan	$821 - $1,231	182%
Cigna	$824 - $1,237	183%
Coventry	$838 - $1,258	186%

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 $345.
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 Banner Churchill Community 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.