Blood transfusion
Facility: Johnson Memorial Hospital
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $1,882
- Cash Discount Price: $5,941
- vs. Medicare Baseline: 4.18x 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 418% of the Medicare baseline (a markup of 318%). 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 |
|---|---|---|
| Connecticut Dept of Correction | $488 | 108% |
| Aetna | $518 - $1,882 | 115% |
| UnitedHealthcare | $518 - $2,413 | 115% |
| Blue Cross Blue Shield | $518 - $2,413 | 115% |
| Medicare (plans) | $518 - $545 | 115% |
| Cca Senior Care Options | $529 | 117% |
| Cigna | $534 - $2,202 | 118% |
| Fallon Health | $688 | 153% |
| Harvard Pilgrim Healthcare | $927 | 206% |
| Geha | $927 | 206% |
| Innovative Health Plan II | $1,111 | 246% |
| Diversified Administrators | $1,111 | 246% |
| Claimdoc | $1,111 | 246% |
| Centivo | $1,232 | 273% |
| Health New England | $1,568 | 348% |
| Meritain | $1,882 | 418% |
| 1199 National Benefit Fund | $1,882 | 418% |
| Luminare Health | $1,882 | 418% |
| Nippon Life Ins | $1,882 | 418% |
| Webtpa | $1,882 | 418% |
| Hap | $1,882 | 418% |
| Allied Benefit Systems | $1,882 | 418% |
| Gravie Admin Services | $1,882 | 418% |
| Prime Health Services | $1,930 | 428% |
| Family Life Insurance Company | $2,003 | 444% |
| Multiplan | $2,003 | 444% |
| International Benefit Administrators | $2,003 | 444% |
| Trinity Health Share | $2,003 | 444% |
| PHCS | $2,003 | 444% |
| Manhattan Life | $2,003 | 444% |
| Lifetime Benefit Solutions | $2,003 | 444% |
| Pai | $2,003 | 444% |
| Christian Care Ministry | $2,003 | 444% |
| Allied National Global Care | $2,003 | 444% |
| Asrm - Reliance Standard Life Insurance | $2,003 | 444% |
| Paramount HMO | $2,003 | 444% |
| Ghc Scw | $2,003 | 444% |
| Medi Share | $2,003 | 444% |
| Pan-American Life | $2,003 | 444% |
| Dean Health | $2,003 | 444% |
| Mvp | $2,003 | 444% |
| Health Smart | $2,051 | 455% |
| Allegiance | $2,202 | 489% |
| Health Partners | $2,202 | 489% |
| Magnacare | $2,202 | 489% |
| Blue Shield - Ny Highmark Northeastern | $2,413 | 535% |
| Blue Shield - Wa (Regence) | $2,413 | 535% |
| Blue Shield - Ny Highmark Western | $2,413 | 535% |
| Wellpoint | $2,413 | 535% |
| United Behavioral Health Eap | $2,413 | 535% |
| Health Choices | $2,413 | 535% |
| Pre-Employment | $2,413 | 535% |
| Kaiser Domestic | $2,413 | 535% |
| Blue Shield - PA (Highmark) | $2,413 | 535% |
| Blue Shield - Ca | $2,413 | 535% |
| Bcn Domestic | $2,413 | 535% |
| Blue Shield - Id (Regence) | $2,413 | 535% |
| Wc Domestic | $2,413 | 535% |
| Blue Distinction Transplant | $2,413 | 535% |
| Blue Care Network | $2,413 | 535% |
| Unicare | $2,413 | 535% |
| Blue Benefit Administrators of Massachusetts | $2,413 | 535% |