CMS Price Transparency Data

Blood transfusion

Facility: Yoakum County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $649
Cash Discount Price: $913
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Yoakum County Hospital is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $913. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.44x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.

Cash / Self-Pay

$913

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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: $913 (203%)

Insurance Median: $649 (144%)

Cash: $913 (203% of Medicare)

Ins. Median: $649 (144% 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
Firstcare	$31 - $851	7%
Multiplan	$31 - $1,064	7%
Blue Cross Blue Shield	$89 - $104	20%
90 Degree Benefits	$304 - $608	67%
Cigna	$395 - $790	88%
Humana	$395 - $790	88%
Insurance Services Of Lubbock	$395 - $790	88%
UnitedHealthcare	$395 - $973	88%
Aetna	$403 - $1,034	89%
Dars	$426 - $851	95%
Healthsmart	$514 - $1,028	114%
Phcs	$517 - $1,034	115%
Capstar	$547 - $1,094	121%
Provider Network	$593 - $1,186	132%

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 $913.
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 Yoakum County Hospital 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.