CMS Price Transparency Data

Blood transfusion

Facility: Poudre Valley Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$502

about 1.1× the $451 Medicare rate · typically $248–$896

modeled estimate · not a bill or quote

What this hospital charges insurers

$439

Below the fair price — a good deal

about $63 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $502 This hospital $439 Cash price $805 Hospital's list price $1,150

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $70 Priciest $439

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $502 (about 1.1× the $451 Medicare rate). Poudre Valley Hospital charges insurers about $439, or about $805 in cash — below the fair price — a good deal. Located in Fort Collins, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$439 - $951	97%
Blue Cross Blue Shieldmajor	$201 - $9,163	45%
Aetnamajor	$439 - $951	97%
Cignamajor	$439 - $5,552	97%
Humanamajor	$439	97%
Kaiser Permanentemajor	$439	97%
Devoted Health	$439	97%
SelectHealth	$85 - $811	19%
+ 4 smaller / regional plans	$435 - $1,116

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 805), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Poudre Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Poudre Valley Hospital

Compare: Blood transfusion at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.