CMS Price Transparency Data

Blood transfusion

Facility: Cherokee Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $870
  • Cash Discount Price: $783
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Cherokee Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $783. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.93x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$783

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $783 (174%)
Insurance Median: $870 (193%)
Cash: $783 (174% of Medicare)
Ins. Median: $870 (193% 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
Health Partners $461 - $870 102%
Wellpoint $461 - $870 102%
Iowa Total Care $478 - $870 106%
Molina $478 - $870 106%
Admin Concepts $870 193%
Aetna $870 193%
American Republic $870 193%
Apw $870 193%
Auxiant $870 193%
Avera $870 193%
Bankers Life $870 193%
Blue Cross Blue Shield $870 193%
Champus $870 193%
Cigna $870 193%
Humana $870 193%
Liability $870 193%
Meridian $870 193%
Meritain $870 193%
Midlands $870 193%
Mutual Of Omaha $870 193%
Occunet $870 193%
Physicians Mutual $870 193%
Private Healthcare $870 193%
Sanford $870 193%
United American $870 193%
UnitedHealthcare $870 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals