CMS Price Transparency Data

Blood transfusion

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $899
Cash Discount Price: $1,017
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Baylor Scott & White Medical Center -Taylor is $899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.99x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$899

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: $1,017 (226%)

Insurance Median: $899 (199%)

Cash: $1,017 (226% of Medicare)

Ins. Median: $899 (199% 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
Baylor Scott & White Health Plan	$338 - $726	75%
Triwest	$356	79%
Corvel	$373	83%
Prime Health Services	$373	83%
American Health Plan	$374	83%
Blue Cross Blue Shield	$374 - $949	83%
Healthspring	$374	83%
Procare Advantage	$374	83%
Superior Health Plan	$374	83%
Humana	$416 - $1,187	92%
Careworks Fka Rockport	$442	98%
Injury Management Organization	$442	98%
Sedgwick	$442	98%
UnitedHealthcare	$836 - $938	185%
Cigna	$871 - $1,022	193%
Midcoast	$932	207%
Quiktrip	$932	207%
University Of Mary Hardin-Baylor	$983	218%
Independent Medical System	$1,017	226%
Curative	$1,102	244%
First Health	$1,187	263%
Healthsmart	$1,187 - $1,271	263%
Private Health Care System	$1,271	282%
Bluebell Creameries	$1,356	301%
Three Rivers	$1,356	301%
Aetna	$3,066	680%

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 $1,017.
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 Baylor Scott & White Medical Center -Taylor 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.