CMS Price Transparency Data

Blood transfusion

Facility: Sterling Regional Medcenter

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$460

about 1.0× the $451 Medicare rate · typically $122–$883

modeled estimate · not a bill or quote

What this hospital charges insurers

$459

About the fair price

about $1 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $460 This hospital $459 Cash price $679 Hospital's list price $1,415

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 $459

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 $460 (about 1.0× the $451 Medicare rate). Sterling Regional Medcenter charges insurers about $459, or about $679 in cash — about the fair price. Located in Sterling, CO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 - $1,610	97%
Blue Cross Blue Shieldmajor	$351 - $1,378	78%
Aetnamajor	$316 - $1,579	70%
Humanamajor	$466	103%
Banner Health	$351 - $526	78%
Cigna HealthSpring	$351 - $526	78%
Devoted Health	$483	107%
Health Net	$1,019 - $1,528	226%
Medica	$351 - $1,414	78%
+ 8 smaller / regional plans	$421 - $1,613

Government programs also on file: Medicare.

Excludes 2 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 679), 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 Sterling Regional Medcenter 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 Sterling Regional Medcenter

Compare: Blood transfusion at other CO hospitals

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