CMS Price Transparency Data

Blood transfusion

Facility: Davis County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $671
  • Cash Discount Price: $1,192
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Davis County Hospital is $671. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,192. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.49x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$1,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$671

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $1,192 (264%)
Insurance Median: $671 (149%)
Cash: $1,192 (264% of Medicare)
Ins. Median: $671 (149% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $500 - $550 111%
Aetna $570 - $622 126%
Choicecare Mcr Adv $616 - $671 137%
Home State Hlth Exch - All Other Plans $616 - $671 137%
Home State Hlth Mcr $616 - $671 137%
Mt Carmel Hp-All Plans $616 - $671 137%
Tricare $616 - $671 137%
Amerigroup Mcr Adv-All Other Plans $628 - $685 139%
American Hp Mcr Adv-All Plans $646 - $705 143%
Home State Hlth Mcaid $684 - $746 152%
Iowa Total Care Mcaid-All Plans $698 - $761 155%
Molina Mcaid-All Plans $708 - $772 157%
Amerigroup Mcaid $711 - $776 158%
Midlands Choice - All Plans $798 - $870 177%
Preferred Hlth Choices - All Plans $855 - $932 190%
Choicecare Comm - All Other Plans $1,083 - $1,181 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals