CMS Price Transparency Data

Blood transfusion

Facility: Cuero Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $656
  • Cash Discount Price: $392
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Cuero Regional Hospital is $656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $392. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.46x the Medicare baseline. Located in 2550 N Esplanade, Cuero, TX.
Cash / Self-Pay
$392

Average discount available for prompt cash payment at this facility.

Insurance Median
$656

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: $392 (87%)
Insurance Median: $656 (146%)
Cash: $392 (87% of Medicare)
Ins. Median: $656 (146% 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
Medicaid / KanCare $31 - $38 7%
Superior__Plan $224 50%
Humana $328 - $501 73%
Tricare $328 73%
Aetna $410 - $754 91%
Medicare (plans) $410 91%
Multiplan__Plan $656 146%
Galaxy__Plan $734 163%
Cigna $783 174%
Unicare__Plan $783 174%
Blue Cross Blue Shield $803 - $832 178%
Beech_Street__Plan $881 195%
Coventry__Plan $881 195%
Accountable_Hp_Of_America__Plan $1,150 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2550 N Esplanade, Cuero, TX 77954
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals