Blood transfusion
Facility: Watsonville Community Hospital
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $1,761
- Cash Discount Price: $1,376
- vs. Medicare Baseline: 3.91x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 391% of the Medicare baseline (a markup of 291%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicruz | $268 - $687 | 59% |
| Victim Compensation Plan | $268 - $3,818 | 59% |
| Great-West/Phcs | $298 - $2,673 | 66% |
| Secure Horizons Dign HMO | $298 - $764 | 66% |
| Health Net Pmg HMO | $298 - $2,394 | 66% |
| Aetna | $298 - $3,542 | 66% |
| Pacificare HMO | $298 - $2,291 | 66% |
| Blue Shield HMO | $298 - $764 | 66% |
| UnitedHealthcare | $298 - $2,291 | 66% |
| Cigna | $298 - $2,673 | 66% |
| Blue Cross Blue Shield | $298 - $4,549 | 66% |
| Western Growers Trust/Bc | $595 - $4,549 | 132% |
| Pinnacle Claims Tpa/Bc | $595 - $4,549 | 132% |
| Western Health Advantage | $744 - $1,909 | 165% |
| Pacificare PPO | $893 - $2,291 | 198% |
| Self Pay | $893 - $2,291 | 198% |
| Health Net Smartcare Netw | $893 - $2,291 | 198% |
| Health Net Blue and Gold | $933 - $2,394 | 207% |
| Health Net of California | $933 - $2,394 | 207% |
| Health Net Canopycare HMO | $933 - $2,394 | 207% |
| Transwestern | $1,041 - $3,055 | 231% |
| First Health | $1,041 - $3,055 | 231% |
| Adventist Risk Management | $1,041 - $3,055 | 231% |
| Geha (Ccn) | $1,041 - $3,055 | 231% |
| Private Healthcare System | $1,160 - $2,978 | 257% |
| Multiplan Inc PPO | $1,160 - $2,978 | 257% |
| Salinas Valley Mem Hops | $1,265 - $3,245 | 281% |
| Coastal Healthcare Admin | $1,265 - $3,436 | 281% |
| Delta Health Systems | $1,290 - $4,549 | 286% |
| Robert Kennedy/Ccn | $1,290 - $4,549 | 286% |
| Calif Ironworkers Field | $1,290 - $4,549 | 286% |
| City of Wats/Pinnacle Clm | $1,290 - $4,549 | 286% |
| Claims Management Wc | $1,290 - $4,549 | 286% |
| Sheet Metal Workers | $1,290 - $4,549 | 286% |
| Teamsters Benefit Trust | $1,290 - $4,549 | 286% |
| Operating Engineers | $1,290 - $4,549 | 286% |
| Monterey Bay Pub Emp Trst | $1,290 - $4,549 | 286% |
| Laborers Health & Welfare | $1,290 - $4,549 | 286% |
| State Compensation Fund | $1,290 - $4,549 | 286% |
| Carpenters H&W Trust | $1,290 - $4,549 | 286% |
| Well Path | $1,488 - $3,818 | 330% |
| State Farm Ins | $1,488 - $3,818 | 330% |
| Miscellaneous Auto | $1,488 - $3,818 | 330% |
| Aarp | $1,488 - $3,818 | 330% |
| Farmers Insurance | $1,488 - $3,818 | 330% |
| Allstate | $1,488 - $3,818 | 330% |
| Prucare Pmg HMO | $1,488 - $3,818 | 330% |
| Aaa | $1,488 - $3,818 | 330% |
| Wholesale Beer Distributo | $1,488 - $3,818 | 330% |
| Miscellaneous Insurance | $1,488 - $3,818 | 330% |
| Bankers Life & Casualty | $1,488 - $3,818 | 330% |
| North Calif Bakery Driver | $1,488 - $3,818 | 330% |
| Zenith National Ins | $1,488 - $3,818 | 330% |
| Sutter Health Plus | $1,488 - $3,818 | 330% |
| Travelers Insurance | $1,488 - $3,818 | 330% |
| Physicians Mutual | $1,488 - $3,818 | 330% |
| Humana | $1,488 - $3,818 | 330% |
| Prucare Pmg POS | $1,488 - $3,818 | 330% |
| United Administrative | $1,488 - $3,818 | 330% |
| Apwu Health Plan | $1,488 - $3,818 | 330% |