CMS Price Transparency Data

Blood transfusion

Facility: Multicare Covington Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,006
Cash Discount Price: $1,150
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Multicare Covington Medical Center is $1,006. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,150. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.23x the Medicare baseline. Located in 17700 Se 272Nd St, Covington, WA.

Cash / Self-Pay

$1,150

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,006

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: $1,150 (255%)

Insurance Median: $1,006 (223%)

Cash: $1,150 (255% of Medicare)

Ins. Median: $1,006 (223% 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 223% of the Medicare baseline (a markup of 123%). 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
Molina	$319 - $882	71%
Community Health Plan Of Washington	$345 - $804	77%
Coordinated Care	$345	77%
UnitedHealthcare	$345 - $2,223	77%
Wellpoint	$345	77%
Aetna	$491 - $2,040	109%
Regence	$491	109%
Wellcare	$501	111%
Premera	$764 - $1,993	170%
Ambetter / Centene	$954	212%
Pacificsource	$1,006 - $1,452	223%
First Choice	$1,357 - $2,468	301%
Kaiser	$1,787	396%
First Health	$2,099	466%
Multiplan/Phcs	$2,099	466%
Cigna	$4,607	1022%

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 $1,150.
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 Multicare Covington 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.