Blood transfusion
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $834
- Cash Discount Price: $834
- vs. Medicare Baseline: 1.85x 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.
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 |
|---|---|---|
| Alliance PPO | $576 | 128% |
| Dean PPO Hmo/Pos | $576 | 128% |
| Medica (Under Dean) | $576 | 128% |
| UnitedHealthcare | $584 - $834 | 130% |
| Trilogy PPO | $601 - $834 | 133% |
| Wps "Insurance" PPO | $609 | 135% |
| PHCS Savility | $626 | 139% |
| Hps Solutions PPO | $634 | 141% |
| Aetna | $651 - $834 | 144% |
| Health Eos Poc | $668 | 148% |
| Hps (Other) | $684 | 152% |
| Coventry/First Health PPO | $684 | 152% |
| Health Eos Multiplan | $709 | 157% |
| PHCS / Multiplan | $768 | 170% |
| Blue Cross Blue Shield | $834 | 185% |
| Children's Communty Health Plan(Cchp) | $834 | 185% |
| VA - Primary Only - Authorization Required | $834 | 185% |
| Cigna | $834 | 185% |
| Medicaid / KanCare | $834 | 185% |
| Molina (Fka Care Wisconsin) | $834 | 185% |
| Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) | $834 | 185% |
| Centivo Broad | $834 | 185% |
| Medicare (plans) | $834 | 185% |
| Community Care, Inc | $834 | 185% |
| All Savers | $834 | 185% |
| Centivo Narrow/Value | $834 | 185% |
| Humana | $834 | 185% |
| Managed Health Services (Mhs) | $834 | 185% |
| Network Health - Aca | $834 | 185% |
| Centivo Intermediate/Median | $834 | 185% |
| Wellcare McR | $834 | 185% |
| Together With Cchp | $834 | 185% |
| Icare McD | $834 | 185% |
| Security Health Plan - Advocare | $834 | 185% |
| Network Health - Commercial | $834 | 185% |
| Unity Health Plan and Unity Quartz(Hmo/Pos) | $834 | 185% |