CMS Price Transparency Data

Blood transfusion

Facility: Medical Center of McKinney

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $399
  • Cash Discount Price: $725
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Medical Center of McKinney is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $725. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.89x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$725

Average discount available for prompt cash payment at this facility.

Insurance Median
$399

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: $725 (161%)
Insurance Median: $399 (89%)
Cash: $725 (161% of Medicare)
Ins. Median: $399 (89% 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
Parkland Community Health Plan $31 7%
United $31 - $2,174 7%
Amerigroup $32 7%
Cigna $32 - $3,553 7%
Molina $34 8%
Aetna $37 - $4,332 8%
Humana $38 - $1,372 8%
Blue Cross Blue Shield $47 - $937 10%
Superior Health Plan $50 - $948 11%
Oscar $148 - $2,636 33%
Healthcare Highways $174 - $2,152 39%
Evry Health $184 - $2,287 41%
Unicare $185 - $2,110 41%
City Of Mckinney $249 - $739 55%
Curative Administrators $285 - $1,672 63%
Fidelis Securecare $320 - $1,995 71%
National Choicecare $356 - $1,055 79%
Pc Texas Partners $391 - $1,161 87%
Physicians Coop Of Tx $391 - $1,161 87%
Rockport Health Group $391 - $1,161 87%
Averde Health, Inc $413 - $1,224 92%
Magellan Bh $427 - $1,266 95%
Value Options Behavioral Health $427 - $1,266 95%
Wellmed $445 99%
Coastal Comp Health Networks $498 - $1,477 110%
Mega Life $498 - $1,477 110%
Multiplan Phcs $498 - $1,477 110%
Lewisville Isd/Dls Consulting $534 - $1,583 118%
Compsych Corporation $569 - $1,688 126%
Healthsmart Preferred Care $569 - $1,688 126%
Usa Managed Care $569 - $1,688 126%
Galaxy Health Network $605 - $1,794 134%
Independent Medical Systems $711 - $2,110 158%
National Healthcare Solutions $711 - $2,110 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals