CMS Price Transparency Data

Blood transfusion

Facility: Pullman Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $709
  • Cash Discount Price: $1,046
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Pullman Regional Hospital is $709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,046. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.57x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$1,046

Average discount available for prompt cash payment at this facility.

Insurance Median
$709

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: $1,046 (232%)
Insurance Median: $709 (157%)
Cash: $1,046 (232% of Medicare)
Ins. Median: $709 (157% 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
Community Health Plan Mcaid-All Plans $26 - $834 6%
Medicaid / KanCare $26 - $834 6%
Molina Hlthcare Mcaid-All Plans $26 - $834 6%
Wellcare Mcaid -All Other Plans $26 - $834 6%
Wellpoint Mcaid - All Plans $26 - $834 6%
Community Care Ntwrk Mcare-All Plans $50 - $806 11%
Kaiser Mcare Advan $50 - $806 11%
Sterling Mcr Adv-All Plans $50 - $806 11%
Triwest - All Plans $50 - $806 11%
Premera First - All Plans $51 - $1,680 11%
Aetna $53 - $2,187 12%
Wellcare Mcr Adv $54 - $878 12%
First Choice - All Other Plans $55 - $2,072 12%
First Choice Admin $55 - $1,899 12%
Blue Cross Blue Shield $57 - $2,187 13%
Humana $57 - $806 13%
Kaiser - All Other Plans $64 - $709 14%
Idaho Dshs-All Plans $65 - $944 14%
Admin Wsu Student-All Plans $135 - $1,957 30%
Multiplan - All Plans $135 - $1,957 30%
Asuris Nw Hlth-All Plans $143 - $2,072 32%
Cigna $143 - $2,072 32%
Focus Hlthcare - All Plans $143 - $2,072 32%
Northwest One - All Plans $143 - $2,072 32%
UnitedHealthcare $143 - $2,072 32%
Great West Hlth-All Plans $151 - $2,187 34%
Integrated Hp - All Plans $151 - $2,187 34%
Spokane Phco - All Plans $151 - $2,187 34%
Provider Network Of America-All Plans $156 - $2,256 35%
Single Case Agree - All Plans $1,680 373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals