CMS Price Transparency Data

Blood transfusion

Facility: Loring Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $508
Cash Discount Price: $534
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Loring Hospital is $508. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $534. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 211 Highland Avenue Po Box 217, Sac City, IA.

Cash / Self-Pay

$534

Average discount available for prompt cash payment at this facility.

Insurance Median

$508

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: $534 (118%)

Insurance Median: $508 (113%)

Cash: $534 (118% of Medicare)

Ins. Median: $508 (113% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meritain	$134	30%
Bas	$200	44%
Aetna	$254 - $668	56%
Auxiant	$334	74%
Blue_Cross	$401 - $668	89%
Champva	$401	89%
Health_Partners	$401	89%
Admin_Concepts	$428	95%
UnitedHealthcare	$468 - $668	104%
Va	$501	111%
Champus	$508	113%
Humana	$588 - $668	130%
Healthscope	$601	133%
Midlands_Choice	$628	139%
Cigna	$641	142%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $534.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loring Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.