CMS Price Transparency Data

Blood transfusion

Facility: Jefferson Healthcare

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $506
Cash Discount Price: $993
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Jefferson Healthcare is $506. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $993. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.12x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$993

Average discount available for prompt cash payment at this facility.

Insurance Median

$506

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: $993 (220%)

Insurance Median: $506 (112%)

Cash: $993 (220% of Medicare)

Ins. Median: $506 (112% 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
Chpw Mcaid	$388	86%
Molina Mcaid	$396	88%
Amerigroup Mcaid-All Plans	$408	91%
Coord Care Mcaid Ip/Op Only	$415	92%
Aetna	$434 - $1,117	96%
Molina Mcr Adv	$434	96%
Tricare	$434	96%
Medicare (plans)	$443	98%
Chpw Mcr Adv	$469	104%
Molina Marketplace-All Other Plans	$543	120%
UnitedHealthcare	$695	154%
Regence-All Other Plans	$931	207%
Chpw Commercial-All Other Plans	$1,055	234%
Premera-All Plans	$1,055	234%
Cigna	$1,117	248%
Coord Care Cascade Ip/Op Only	$1,117	248%
Coord Care Comm/Exchge-All Other Plans	$1,117	248%

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 $993.
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 Jefferson Healthcare 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.