CMS Price Transparency Data

Blood transfusion

Facility: Dallas Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $448
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Dallas Regional Medical Center is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.99x the Medicare baseline. Located in 1011 North Galloway Avenue, Mesquite, TX.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $441 (98%)
Insurance Median: $448 (99%)
Cash: $441 (98% of Medicare)
Ins. Median: $448 (99% 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
Blue Cross Blue Shield $59 - $441 13%
UnitedHealthcare $344 - $441 76%
Careworks Fka (Rockport Community Network) Workercomp $419 93%
Aetna $441 - $1,746 98%
Care N Care Insurance Company $441 98%
Cigna $441 - $454 98%
Medicare (plans) $441 98%
Superior Health Plan/Wellcare $441 - $573 98%
Texas Bluebonnett Health Plan $441 - $728 98%
Tricare $441 98%
Usa Senior Care Network $441 98%
Wellmed $441 98%
Wellpoint Amerigroup $441 98%
Molina $463 103%
Multiplan $463 103%
Provider Partners Health Plan $463 103%
Imperial Insurance Companies Mcr $467 104%
American Health Plan $485 108%
Hi Card $551 122%
Worker Compensation $573 - $882 127%
American Correction Healthcare $609 135%
Employee Direct Healthcare $617 137%
Total Plans Srvices $617 137%
Wellpath $639 142%
Corporate Remedies Workers Comp $662 147%
Naphcare -Prison $684 152%
Elap Services $728 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1011 North Galloway Avenue, Mesquite, TX 75149
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals