CMS Price Transparency Data

Blood transfusion

Facility: Central Texas Rehabilitation Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $500
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Central Texas Rehabilitation Hospital is $500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.11x the Medicare baseline. Located in 700 W 45Th St, Austin, TX.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$500

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: $500 (111%)
Insurance Median: $500 (111%)
Cash: $500 (111% of Medicare)
Ins. Median: $500 (111% 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
Aetna $500 111%
Ascension Personalized Care Cpd $500 111%
Ascension Smart Health Cpd $500 111%
Blue Cross Blue Shield $500 111%
Cigna $500 111%
Covenant Management Cpd $500 111%
Curative Health Cpd $500 111%
Devoted Health Mcr Adv $500 111%
Humana $500 111%
Medicare (plans) $500 111%
Oscar Health Plan Aca Exch Plan $500 111%
Sendero Health Plan Chap $500 111%
Sendero Health Plan Ideal Care $500 111%
Seton Health Plan-Smarthealth $500 111%
Superior Health Plan Cpg $500 111%
Triwest Cpg $500 111%
UnitedHealthcare $500 111%
Va Triwest Cpg $500 111%
Wellmed Allcare Mgg $500 111%
Wellmed Mgg $500 111%
Wellmed Tx Mgg $500 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 W 45Th St, Austin, TX 78751
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL