CMS Price Transparency Data

Blood transfusion

Facility: Harlingen Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $441
Cash Discount Price: $441
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Harlingen Medical Center is $441. 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 0.98x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$441

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: $441 (98%)

Cash: $441 (98% of Medicare)

Ins. Median: $441 (98% 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
Blue Cross Blue Shield	$45 - $441	10%
Aetna	$441 - $868	98%
Careworks Worker Compensation Fka Rockport Community Network	$441	98%
Cigna	$441 - $454	98%
Humana	$441	98%
Medicare (plans)	$441	98%
San Benito Medical Associates	$441	98%
Superior Health Plan	$441	98%
Texas Bluebonnett Health Plan	$441 - $728	98%
Tricare	$441	98%
UnitedHealthcare	$441 - $814	98%
Veterans Evaluation Services	$441	98%
Wellmed	$441	98%
Workers Compensation	$441	98%
Molina	$463 - $684	103%
Provider Partners Health Plan	$463	103%
Imperial Insurance Company	$467	104%
Asserta Health	$573	127%
Friday Health Plan	$573	127%
Magic Valley Electric Cooperative	$573	127%
Superior Health Commercial Exchange	$573	127%
Employer Direct Healthcare	$617	137%
Corporate Remedies Worker Compensation	$662	147%
Naphcare	$684	152%
Baker Benefits Administrators	$882	196%

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 $441.
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 Harlingen Medical Center 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.