CMS Price Transparency Data

Blood transfusion

Facility: De Tar Hospital Navarro

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $711
  • Cash Discount Price: $466
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at De Tar Hospital Navarro is $711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $466. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.58x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$466

Average discount available for prompt cash payment at this facility.

Insurance Median
$711

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: $466 (103%)
Insurance Median: $711 (158%)
Cash: $466 (103% of Medicare)
Ins. Median: $711 (158% 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
Veterans Eval Services $39 9%
Blue Cross Blue Shield $329 - $1,335 73%
Dars $362 - $503 80%
Tx Workforce Commission $362 - $503 80%
Cigna $374 - $941 83%
Tricare $421 - $443 93%
Humana $436 97%
Medicare (plans) $436 97%
UnitedHealthcare $436 - $886 97%
Department Of Veterans Affairs $443 98%
Node Hospice Non Par Agree $443 98%
Node Triwest $443 98%
Node Va $443 98%
Aetna $449 - $1,248 100%
American Health Mcr Adv $454 101%
Provider Partners Health Plan $456 101%
Node Amerigroup Mcr Adv $458 102%
Node Procare Mcr Adv $458 102%
Superior $458 - $900 102%
Industrial Rehab $510 113%
Node Us Dept Of Labor $554 123%
Node Brookshire Brothers $776 172%
Node Brookshire Brothers Work Comp Tx $824 183%
Healthsmart $865 - $1,532 192%
Work Comp $886 197%
Medicaid / KanCare $951 - $2,192 211%
Elap $975 216%
Multiplan $1,022 - $1,751 227%
First Health $1,070 - $1,489 237%
Medcorp Southwest Inc $1,101 - $1,532 244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals