CMS Price Transparency Data

Blood transfusion

Facility: Southern Coos Hospital & Health Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $887
  • Cash Discount Price: $991
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Southern Coos Hospital & Health Center is $887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $991. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.97x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.
Cash / Self-Pay
$991

Average discount available for prompt cash payment at this facility.

Insurance Median
$887

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: $991 (220%)
Insurance Median: $887 (197%)
Cash: $991 (220% of Medicare)
Ins. Median: $887 (197% 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
Tricare $576 128%
Advanced Health - All Plans $624 138%
Aetna $654 - $892 145%
Atrio Mcr Adv - Allplans $654 145%
Confederated Tribes - All Plans $654 145%
Moda Mcr Adv $654 145%
Pacific Source Mcr Adv $654 145%
Cigna $783 174%
Healthnet - All Plans $823 183%
Moda Health Plan - All Other Plans $882 196%
Prov Netwrk Of America - All Plans $892 198%
Three Rivers - All Plans $892 198%
UnitedHealthcare $892 198%
First Choice - All Plans $912 202%
Blue Cross Blue Shield $922 205%
Multiplan - All Plans $922 205%
First Health - All Plans $942 209%
Pacific Source - All Other Plans $942 209%
Providence Preferred - All Plans $942 209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 11Th Street Se, Bandon, OR 97411
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals