CMS Price Transparency Data

Blood transfusion

Facility: HCA Houston Healthcare Northwest

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $826
Cash Discount Price: $3,086
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Houston Healthcare Northwest is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,086. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.83x the Medicare baseline. Located in 710 Cypress Creek Parkway, Houston, TX.

Cash / Self-Pay

$3,086

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $3,086 (685%)

Insurance Median: $826 (183%)

Cash: $3,086 (685% of Medicare)

Ins. Median: $826 (183% 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.

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
United	$33 - $1,702	7%
Community Health Choice Mcd	$34	8%
Molina Healthcare	$34	8%
Humana	$38 - $4,690	8%
Aetna	$39 - $2,947	9%
Superior Health Plan	$142 - $948	32%
Blue Cross Blue Shield	$253 - $1,254	56%
Cigna	$351 - $3,128	78%
Texas Childrens Health Plans	$394 - $849	87%
Oscar	$463 - $2,358	103%
Healthcare Highways	$605 - $5,841	134%
Evry Health	$648 - $978	144%
Christus (Usfhp)	$949 - $1,433	211%
Curative Administrators	$949 - $1,672	211%
Coventry National First Health	$1,265 - $1,910	281%

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 $3,086.
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 HCA Houston Healthcare Northwest 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.