CMS Price Transparency Data

Blood transfusion

Facility: Platte County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,344
Cash Discount Price: $883
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Platte County Hospital is $1,344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.98x the Medicare baseline. Located in 201 14Th Street, Wheatland, WY.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,344

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: $883 (196%)

Insurance Median: $1,344 (298%)

Cash: $883 (196% of Medicare)

Ins. Median: $1,344 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
UnitedHealthcare	$543 - $1,606	120%
Banner Health	$645 - $968	143%
Humana	$645 - $968	143%
Medica	$645 - $1,611	143%
Triwest Healthcare Alliance Corp - Va Ccn	$645 - $968	143%
Interwest Health	$658 - $1,664	146%
Prime Health Services	$658 - $1,664	146%
Platte County Detention Center	$906 - $1,358	201%
Blue Cross Blue Shield	$1,075 - $1,613	239%
First Choice Health Network	$1,075 - $1,613	239%
Hue Health, Inc	$1,075 - $1,613	239%
Imagine Health, Llc (Wka Wise Provider Network)	$1,075 - $1,613	239%
Mountain Health Cooperative (Co-Op)	$1,075 - $1,613	239%
Coventry	$1,087 - $1,630	241%
First Health	$1,087 - $1,630	241%
Midlands Choice	$1,087 - $1,630	241%
Cigna	$1,098 - $1,647	244%
Multiplan	$1,098 - $1,647	244%

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 $883.
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 Platte County 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.