CMS Price Transparency Data

Blood transfusion

Facility: Harrison Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,054
Cash Discount Price: $1,417
vs. Medicare Baseline: 4.56x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Harrison Medical Center is $2,054. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,417. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.56x the Medicare baseline. Located in 1800 Nw Myhre Rd, Silverdale, WA.

Cash / Self-Pay

$1,417

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,054

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: $1,417 (314%)

Insurance Median: $2,054 (456%)

Cash: $1,417 (314% of Medicare)

Ins. Median: $2,054 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Chpw	$510	113%
Kaiser	$510 - $1,922	113%
Wellcare	$514	114%
UnitedHealthcare	$515	114%
Aetna	$525 - $2,825	116%
Blue Cross Blue Shield	$525 - $1,884	116%
Humana	$545	121%
United	$550 - $2,729	122%
Molina	$550 - $1,172	122%
Sound Family Medicine	$1,019	226%
Coordinated Care	$1,192	264%
Uniform Medical Plan	$1,200	266%
Cigna	$2,022 - $2,054	449%
First Choice	$2,343	520%
Multiplan	$2,889	641%

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 $1,417.
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 Harrison Medical Center 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.