CMS Price Transparency Data

Blood transfusion

Facility: W J Mangold Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $284
Cash Discount Price: $692
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at W J Mangold Memorial Hospital is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $692. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.63x the Medicare baseline. Located in 320 North Main, Lockney, TX.

Cash / Self-Pay

$692

Average discount available for prompt cash payment at this facility.

Insurance Median

$284

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: $692 (154%)

Insurance Median: $284 (63%)

Cash: $692 (154% of Medicare)

Ins. Median: $284 (63% 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
Amerigroup	$31 - $284	7%
Firstcare	$31 - $472	7%
UnitedHealthcare	$99 - $284	22%
Humana	$284	63%
Tricare	$292	65%
Blue Cross Blue Shield	$503	112%
Cigna	$503	112%
Teamchoice	$503	112%
Aetna	$535	119%

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 $692.
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 W J Mangold Memorial 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.