CMS Price Transparency Data
Blood transfusion
Facility: Guadalupe Regional Medical Center
Billing Code: 36430 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$391
about 0.9× the $451 Medicare rate · typically $200–$712
modeled estimate · not a bill or quote
Medicare pays $451 Fair price $391 Cash price $992 Hospital's list price $1,984
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,459 - $1,517 | 324% |
| Blue Cross Blue Shieldmajor | $42 - $55 | 9% |
| Aetnamajor | $37 - $1,720 | 8% |
| Cignamajor | $1,750 - $1,821 | 388% |
| Humanamajor | $1,653 - $1,720 | 367% |
| Clover Health | $37 - $414 | 8% |
| Healthcare Highways | $1,459 - $1,517 | 324% |
| Oscar Health | $37 - $414 | 8% |
| WellCare | $37 - $414 | 8% |
| + 4 smaller / regional plans | $37 - $1,821 |
Government programs also on file: Military & VA.
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Other Procedures at Guadalupe Regional Medical Center
Compare: Blood transfusion at other TX hospitals
- Nacogdoches Memorial Hospital · Nacogdoches $69
- University of Texas M. D. Anderson Cancer Center · Houston $73
- Covenant Childrens Hospital · Lubbock $75
- UT of Texas Southwestern University Hospital - William P. Clements Jr. · Dallas $80
- Elite Hospital Kingwood · Kingwood $89
- Yoakum County Hospital · Denver City $91
- Seymour Hospital · Seymour $100
- Riceland Medical Center · Winnie $105
Insurance negotiated median for the same procedure, sorted lowest first.