CMS Price Transparency Data

Blood transfusion

Facility: Intermountain Health Riverton Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $660
  • Cash Discount Price: $831
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Intermountain Health Riverton Hospital is $660. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $831. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.46x the Medicare baseline. Located in 3741 West 12600 South, Riverton, UT.
Cash / Self-Pay
$831

Average discount available for prompt cash payment at this facility.

Insurance Median
$660

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: $831 (184%)
Insurance Median: $660 (146%)
Cash: $831 (184% of Medicare)
Ins. Median: $660 (146% 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 $37 - $941 8%
American Health $37 - $449 8%
Blue Cross Blue Shield $37 - $842 8%
Health Partners Of Nevada $37 - $432 8%
Health Plan Of Nevada $37 - $358 8%
Healthy U $37 - $358 8%
Humana $37 - $454 8%
Molina $37 - $475 8%
Selecthealth $37 - $560 8%
UnitedHealthcare $37 - $941 8%
Donor Connect $40 - $280 9%
Intermountain Caregiver Plan $99 - $534 22%
Triwest $419 93%
Emi $598 133%
Deseret Mutual $637 141%
Cigna $698 - $941 155%
Awh Connected $703 - $714 156%
Emi Health $768 170%
Pehp $771 - $986 171%
Byu Risk Management $775 - $808 172%
Corporation Of The President $775 - $808 172%
Wcf Insurance $775 - $808 172%
Byu Athletics $797 177%
Campbell Scientific $797 177%
Corvel Corporation $797 177%
Franklin County $797 177%
Ifit $797 177%
Juniper Systems $797 177%
Lw Miller $797 177%
Tanner Llc $797 177%
Utah Tech $797 177%
Injury Care Of Nevada $830 184%
Managed Care Admin $864 192%
Prodegi Corp Benefit $908 201%
Uofu $908 201%
Springtide $919 204%
Global Excel $941 209%
Medcare International $941 209%
Motivhealth $941 209%
Wise Network $941 209%
Hygeia Corporation $997 221%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3741 West 12600 South, Riverton, UT 84065
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals