CMS Price Transparency Data

Blood transfusion

Facility: Intermountain Health Sevier Valley Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,139
Cash Discount Price: $899
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Intermountain Health Sevier Valley Hospital is $1,139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $899. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.53x the Medicare baseline. Located in 1000 North Main Street, Richfield, UT.

Cash / Self-Pay

$899

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,139

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: $899 (199%)

Insurance Median: $1,139 (253%)

Cash: $899 (199% of Medicare)

Ins. Median: $1,139 (253% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 253% of the Medicare baseline (a markup of 153%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$37 - $1,151	8%
American Health	$37 - $498	8%
Health Partners Of Nevada	$37 - $478	8%
Health Plan Of Nevada	$37 - $1,067	8%
Healthy U	$37 - $1,067	8%
Humana	$37 - $1,139	8%
Molina	$37 - $1,139	8%
Selecthealth	$37 - $1,139	8%
UnitedHealthcare	$37 - $1,139	8%
Triwest	$419	93%
Injury Care Of Nevada	$899	199%
Byu Risk Management	$1,019	226%
Corporation Of The President	$1,019	226%
Corvel Corporation	$1,019	226%
Wcf Insurance	$1,019	226%
Awh Connected	$1,139 - $1,151	253%
Blue Cross Blue Shield	$1,139	253%
Byu Athletics	$1,139	253%
Campbell Scientific	$1,139	253%
Cigna	$1,139	253%
Deseret Mutual	$1,139	253%
Emi	$1,139	253%
Emi Health	$1,139	253%
Franklin County	$1,139	253%
Global Excel	$1,139	253%
Health Utah	$1,139	253%
Hygeia Corporation	$1,139	253%
Ifit	$1,139	253%
Juniper Systems	$1,139	253%
Lw Miller	$1,139	253%
Managed Care Admin	$1,139	253%
Medcare International	$1,139	253%
Motivhealth	$1,139	253%
Pehp	$1,139	253%
Prodegi Corp Benefit	$1,139	253%
Springtide	$1,139	253%
Tanner Llc	$1,139	253%
Uofu	$1,139	253%
Utah Tech	$1,139	253%
Wise Network	$1,139	253%

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 $899.
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 Intermountain Health Sevier Valley 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.