CMS Price Transparency Data

Blood transfusion

Facility: Snoqualmie Valley Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $638
Cash Discount Price: $757
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Snoqualmie Valley Hospital is $638. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $757. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$757

Average discount available for prompt cash payment at this facility.

Insurance Median

$638

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: $757 (168%)

Insurance Median: $638 (142%)

Cash: $757 (168% of Medicare)

Ins. Median: $638 (142% 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
Aetna	$440 - $910	98%
Amerigroup Wellpoint	$440 - $775	98%
Community Health Plan Of Wa	$440 - $673	98%
Medicare (plans)	$440 - $660	98%
Molina Healthcare Of Washington Mcr Adv	$440 - $660	98%
Blue Shield Of Wa Regence Mcr Adv	$445 - $666	99%
Humana	$445 - $666	99%
Molina Healthcare Of Washington	$449 - $673	100%
UnitedHealthcare	$449 - $1,440	100%
Washington Coordinated Care	$449 - $789	100%
Community Health Plan Of Wa Mcd Rep	$488 - $731	108%
Medicaid / KanCare	$488 - $731	108%
Molina Healthcare Of Washington Mcd Rep	$527 - $789	117%
Blue Cross Blue Shield	$627 - $939	139%
Blue Shield Of Wa Regence	$627 - $939	139%
Kaiser Foundation Health Plan Of The Northwest	$658 - $986	146%
First Choice Health Network	$731 - $1,096	162%
Cigna	$836 - $1,252	185%

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 $757.
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 Snoqualmie Valley 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.