CMS Price Transparency Data

Blood transfusion

Facility: Parkland Health & Hospital System

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,468
Cash Discount Price: $2,783
vs. Medicare Baseline: 3.26x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Parkland Health & Hospital System is $1,468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,783. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.26x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$2,783

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,468

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: $2,783 (617%)

Insurance Median: $1,468 (326%)

Cash: $2,783 (617% of Medicare)

Ins. Median: $1,468 (326% 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 326% of the Medicare baseline (a markup of 226%). 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
Wellpoint [1007]	$11 - $5,112	2%
Superior Health Plan [1402]	$34 - $624	8%
Blue Cross Blue Shield	$53 - $9,694	12%
Molina [1382]	$277 - $5,623	61%
Care Improvement Plus [1104]	$348 - $2,814	77%
Procare Advantage [2104]	$353 - $2,854	78%
Cook Children Health Plan [1380]	$593 - $1,104	132%
Aetna	$624 - $8,078	138%
Parkland Community Health Plan [1056]	$624 - $5,367	138%
Point Comfort Underwriters [1801]	$653 - $1,157	145%
Cigna	$782 - $8,078	173%
UnitedHealthcare	$1,110 - $8,981	246%
Medicare (plans)	$1,461 - $2,969	324%
Wellcare Of Texas [1330]	$1,461 - $2,827	324%
Superior Healthplan [1383]	$2,205 - $4,108	489%
Molina Aca [1337]	$3,617 - $4,039	802%
Great West Healthcare [1037]	$4,174 - $8,078	926%
Triwest Healthcare Alliance [1409]	$5,217 - $10,098	1157%

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 $2,783.
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 Parkland Health & Hospital System 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.