Blood transfusion
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $217
- Cash Discount Price: $356
- vs. Medicare Baseline: 0.48x 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 |
|---|---|---|
| Blue Cross Blue Shield | $15 - $412 | 3% |
| Americas Choice Provider Network | $18 - $481 | 4% |
| Provider Network Of America | $19 - $515 | 4% |
| Velocity | $19 - $515 | 4% |
| Quiktrip Corporation | $19 - $515 | 4% |
| Usa Managed Care Organization | $19 - $515 | 4% |
| Multiplan-Phcs | $20 - $550 | 4% |
| Prime Health Services | $21 - $584 | 5% |
| Medincrease | $22 - $618 | 5% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at the Rehabilitation Hospital Of Overland Park, the cash price is $356.00, which matches the facility's cash median. This rate is significantly lower than the negotiated rates paid by major payers, ranging from $15 to $618 depending on the insurance plan. While the facility's negotiated rates are higher than the cash price, patients with high-deductible plans may find paying cash upfront more cost-effective if their insurance allowed amount exceeds the cash price. It is important to note that the facility's negotiated rates are substantially higher than the Medicare benchmark of $450.73, indicating a markup typical of commercial contracts.
To minimize costs, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you have insurance, be aware that balance billing could occur if you are treated by an out-of-network provider, though the No Surprises Act protects you from such unexpected charges for emergency care and non-emergency services at in-network facilities. Always request a full itemized bill before paying to ensure no errors or unbundled charges are included, and verify your deductible status to avoid paying the full negotiated rate out of pocket.