CMS Price Transparency Data

Blood transfusion

Facility: Mercy Medical Center-New Hampton

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$293

about 0.6× the $451 Medicare rate · typically $35–$1,016

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $293 Hospital's list price $1,197

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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	$508 - $828	113%
Blue Cross Blue Shieldmajor	$474	105%
Aetnamajor	$479 - $1,131	106%
Cignamajor	$1,161	258%
Ambetter (Centene)	$804	178%
GEHA	$828	184%
HealthPartners	$1,150	255%
Medica	$1,161	258%
Medical Mutual	$1,131	251%
Oscar Health	$704	156%
+ 17 smaller / regional plans	$604 - $1,197

Government programs also on file: Medicare, Medicaid.

Excludes 3 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, 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 Mercy Medical Center-New Hampton 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.

Other Procedures at Mercy Medical Center-New Hampton

Compare: Blood transfusion at other IA hospitals

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