CMS Price Transparency Data

Blood transfusion

Facility: Curry General Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,567
Cash Discount Price: $1,649
vs. Medicare Baseline: 3.48x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Curry General Hospital is $1,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,649. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.48x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$1,649

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,567

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: $1,649 (366%)

Insurance Median: $1,567 (348%)

Cash: $1,649 (366% of Medicare)

Ins. Median: $1,567 (348% 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 348% of the Medicare baseline (a markup of 248%). 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
Medicaid / KanCare	$33 - $1,039	7%
First Choice Health Admin [1294]	$126	28%
First Choice [528]	$126	28%
Tricare	$513	114%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$714	158%
Medicare (plans)	$714 - $1,072	158%
Blue Cross Blue Shield	$841 - $1,649	187%
Department Of Corrections [1051]	$1,072	238%
Coordinated Care Commercial [1649]	$1,402	311%
Pacificsource [1148]	$1,402	311%
Moda [512]	$1,415 - $1,484	314%
Multiplan [1131]	$1,501	333%
Asuris [1258]	$1,567	348%
Operating Engineers [1144]	$1,567	348%
Regence [1351]	$1,567 - $1,649	348%
Cigna	$1,616 - $1,649	359%
Coventry First Health Managed Care [1774]	$1,616	359%
Coventry Health [1046]	$1,616	359%
Providence Health Plan Plm Alt [1692]	$1,616	359%
Providence Health Plan [567]	$1,616	359%
Aetna	$1,649	366%
Employee Bene Admin Mgmt [525]	$1,649	366%
Geha [531]	$1,649	366%
Mailhandlers Benefit Pln [547]	$1,649	366%
Meritain [550]	$1,649	366%
Nw Sheet Metal Workers [597]	$1,649	366%
Trustmark [524]	$1,649	366%
UnitedHealthcare	$1,649	366%
Zenith Administrators [586]	$1,649	366%
Allcare Alt [2598]	$2,000	444%
Allcare [1695]	$2,000	444%

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 $1,649.
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 Curry General 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.