CMS Price Transparency Data

Blood transfusion

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $842
Cash Discount Price: $664
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Intermountain Health Garfield Memorial Hospital is $842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.87x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.

Cash / Self-Pay

$664

Average discount available for prompt cash payment at this facility.

Insurance Median

$842

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: $664 (147%)

Insurance Median: $842 (187%)

Cash: $664 (147% of Medicare)

Ins. Median: $842 (187% 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
Aetna	$37 - $850	8%
Health Choice Utah	$37 - $788	8%
Healthy U	$37 - $788	8%
Medicare (plans)	$37 - $337	8%
Molina	$37 - $842	8%
Molina Healthcare Of Utah	$37 - $842	8%
Selecthealth	$37 - $842	8%
Triwest	$37 - $456	8%
Uofu	$37 - $842	8%
Tricare	$384 - $456	85%
UnitedHealthcare	$726 - $744	161%
Blue Cross Blue Shield	$842	187%
Byu Athletic Department	$842	187%
Campbell Scientific	$842	187%
Cigna	$842	187%
Deseret Mutual	$842	187%
Emi Health	$842	187%
Franklin County	$842	187%
Health Utah	$842	187%
Hygeia Corporation	$842	187%
Juniper Systems	$842	187%
Lw Miller	$842	187%
Managed Care Administrators, Inc.	$842	187%
Medcare International	$842	187%
Motivhealth	$842	187%
Pehp	$842	187%
Prodegi Corporate Benefit Services, Llc	$842	187%
Springtide	$842	187%
Tanner Llc	$842	187%
Utah State University	$842	187%
Utah Tech University	$842	187%
Wise	$842	187%

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 $664.
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 Garfield Memorial 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.