CMS Price Transparency Data

Blood transfusion

Facility: McKenzie-Willamette Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,554
Cash Discount Price: $1,529
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at McKenzie-Willamette Medical Center is $1,554. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,529. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.45x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$1,529

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,554

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: $1,529 (339%)

Insurance Median: $1,554 (345%)

Cash: $1,529 (339% of Medicare)

Ins. Median: $1,554 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Pacificsource Hlthier Or	$384	85%
Pacificsource Mcaid	$384	85%
Trillium Mcaid-All Plans	$384	85%
Kaiser Mcaid	$392 - $857	87%
Healthnet Mcd	$418	93%
Kaiser Mcr Adv	$492	109%
Healthnet Mcr Adv	$517	115%
Pacificsource Individual	$871 - $1,903	193%
Healthnet Comm - All Other Plans	$892 - $1,949	198%
Providence Hp Pebb	$984	218%
Pacificsource Non-Individ	$1,132 - $2,475	251%
Providence Hp - All Other Plans	$1,132 - $2,475	251%
Pacificsource Psn/Voyager - All Other Plans	$1,167 - $2,551	259%
Blue Cross Blue Shield	$1,194	265%
Cigna	$1,207 - $2,638	268%
Aetna	$1,394 - $3,046	309%
UnitedHealthcare	$1,394 - $3,046	309%
Kaiser Comm - All Other Plans	$4,703 - $10,279	1043%

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 $1,529.
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 McKenzie-Willamette 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.