CMS Price Transparency Data

Blood transfusion

Facility: Comanche County Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $596
  • Cash Discount Price: $620
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Comanche County Medical Center is $596. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $620. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.32x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$620

Average discount available for prompt cash payment at this facility.

Insurance Median
$596

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: $620 (138%)
Insurance Median: $596 (132%)
Cash: $620 (138% of Medicare)
Ins. Median: $596 (132% 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
Choicecare Comm - All Other Plans $312 - $448 69%
Choicecare Mcr Adv $312 - $448 69%
Humana $312 - $848 69%
Molina Mcr Adv - All Other Plans $312 - $448 69%
Pphp Mcr Adv - All Plans $312 - $448 69%
Superior Epo/Hmo - All Plans $312 - $448 69%
Swhp Mcr Adv $312 - $448 69%
Wellmed Mcr Adv - All Plans $312 - $448 69%
Alliance Wc - All Plans $468 - $672 104%
Aetna $532 - $763 118%
Molina Mcaid $532 - $763 118%
Swhp Mcaid $532 - $763 118%
Cigna $549 - $787 122%
Blue Cross Blue Shield $591 - $908 131%
Occunet - All Plans $633 - $908 140%
Swhp Comm - All Other Plans $675 - $969 150%
First Care Hmo - All Other Plans $717 - $1,029 159%
First Care Hmo Self Funded $717 - $1,029 159%
Mpi - All Plans $760 - $1,090 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals