CMS Price Transparency Data

Blood transfusion

Facility: Arbor Health Morton Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $415
Cash Discount Price: $554
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Arbor Health Morton Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.92x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$554

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $554 (123%)

Insurance Median: $415 (92%)

Cash: $554 (123% of Medicare)

Ins. Median: $415 (92% 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
Comm Health Healthy Options	$384	85%
Kaiser Mcaid	$384	85%
UnitedHealthcare	$384 - $714	85%
Amerigroup-All Other Plans	$407	90%
Aetna	$411 - $786	91%
Amerigroup Mcr Adv	$411	91%
Comm Health Mcr Adv	$411	91%
Healthnet Mcr Adv - All Plans	$411	91%
Humana	$411	91%
Mcr Railroad Mcr Adv - All Plans	$411	91%
Medicare (plans)	$411	91%
Premera Hmo Mcr Adv	$411	91%
Rural Health Mcare - All Plans	$411	91%
Regence Blue Shield Mcr Adv	$415	92%
Molina Mcr Adv	$431	96%
Wellcare Mcr Adv - All Plans	$431	96%
Molina Marketplace-All Other Plans	$526	117%
Regence Blue Shield Ump-All Other Plans	$625	139%
Kaiser Comm-All Other Plans	$701	156%
Molina Mcaid	$741	164%
Comm Health Basic Sub - All Other Plans	$759	168%
Comm Health Pebb	$759	168%
Premera First-All Other Plans	$804	178%
Cigna	$830	184%
First Choice-All Plans	$830	184%

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 $554.
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 Arbor Health Morton 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.