CMS Price Transparency Data

Blood transfusion

Facility: Cody Regional Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $660
Cash Discount Price: $737
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Cody Regional Health is $660. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $737. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.46x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$737

Average discount available for prompt cash payment at this facility.

Insurance Median

$660

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: $737 (164%)

Insurance Median: $660 (146%)

Cash: $737 (164% of Medicare)

Ins. Median: $660 (146% 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
Medica Comm - All Other Plans	$41 - $1,292	9%
Mountain Health - All Plans	$47 - $1,292	10%
Tricare	$47 - $660	10%
Pacific Source - All Plans	$56 - $1,292	12%
Blue Cross Blue Shield	$69 - $1,364	15%
Christian Hlthcare - All Plans	$239 - $1,149	53%
Cigna	$269 - $1,139	60%
First Choice Health - All Plans	$269 - $1,292	60%
Humana	$269 - $1,335	60%
Interwest Health Ppo - All Plans	$275 - $1,321	61%
First Health Ntwrk-All Plans	$278 - $1,335	62%
Three Rivers - All Plans	$284 - $1,364	63%
UnitedHealthcare	$284 - $1,335	63%
Rocky Mtn Admin - All Plans	$1,292	287%

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 $737.
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 Cody Regional Health 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.