CMS Price Transparency Data

Blood transfusion

Facility: Island Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $269
  • Cash Discount Price: $420
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Island Hospital is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.60x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.
Cash / Self-Pay
$420

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $420 (93%)
Insurance Median: $269 (60%)
Cash: $420 (93% of Medicare)
Ins. Median: $269 (60% 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
Molina Mcaid - All Plans $35 - $309 8%
Amerigroup Mcaid - All Plans $37 - $325 8%
Regence Comm - All Other Plans $75 - $554 17%
Cigna $80 - $591 18%
First Health - All Plans $85 - $628 19%
Humana $85 - $628 19%
Multiplan - All Plans $85 - $628 19%
Aetna $95 - $702 21%
Samish Indian Health - All Plans $203 - $266 45%
Swinomish Indian Health - All Plans $203 - $266 45%
Regence Mcr Adv $216 - $282 48%
Aarp Mcr Adv - All Plans $266 59%
Kaiser Mcr Adv $266 59%
Tricare $266 59%
UnitedHealthcare $266 - $628 59%
Premera Mcr Adv $279 62%
Chpw Mcaid - All Plans $285 - $371 63%
Coordinated Care Mcaid - All Plans $356 79%
Premera Comm - All Other Plans $489 108%
First Choice - All Plans $628 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1211 24Th Street, Anacortes, WA 98221
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals