CMS Price Transparency Data

Blood transfusion

Facility: Mid-Columbia Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $485
  • Cash Discount Price: $256
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Mid-Columbia Medical Center is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.08x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$256

Average discount available for prompt cash payment at this facility.

Insurance Median
$485

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: $256 (57%)
Insurance Median: $485 (108%)
Cash: $256 (57% of Medicare)
Ins. Median: $485 (108% 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
Blue Cross Blue Shield $47 - $2,975 10%
Community Hp Mcr Adv - All Plans $47 - $525 10%
Molina Mcr Adv $47 - $525 10%
Tricare $47 - $525 10%
Va Ccn Triwest - All Plans $47 - $525 10%
Healthnet - All Other Plans $48 11%
Healthnet Mcr Adv $48 - $536 11%
Humana $48 - $551 11%
Moda Mcr Adv $48 - $525 11%
Devoted Mcr Adv - All Plans $51 - $1,008 11%
Employee Health Plan - All Plans $52 - $945 12%
Molina - All Other Plans $52 - $578 12%
Coventry - All Plans $61 - $840 14%
First Choice - All Plans $62 - $886 14%
Providence Ppo - All Plans $65 - $886 14%
Moda Health Plan - All Other Plans $68 - $616 15%
Molina Mcaid $70 - $485 16%
Cigna $79 - $879 18%
Multiplan/Phcs - All Plans $80 - $886 18%
Aetna $89 - $861 20%
Amerigroup Mcaid - All Plans $135 - $485 30%
Coordinated Care Mcaid - All Plans $135 - $485 30%
Norocor - All Plans $466 103%
UnitedHealthcare $485 - $886 108%
Healthscape - All Plans $746 166%
First Health - All Plans $830 184%
Pacific Source - All Plans $858 190%
Trpn - Three Rivers - All Plans $886 197%
Ahp - Americas Hlth Plan - All Plans $905 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals