CMS Price Transparency Data

Blood transfusion

Facility: Mercyone Centerville Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$271

about 0.6× the $451 Medicare rate · typically $44–$983

modeled estimate · not a bill or quote

What this hospital charges insurers

$158

Below the fair price — a good deal

about $113 under the fair price · 0.4× Medicare

Medicare pays $451 Fair price $271 This hospital $158 Hospital's list price $1,197

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $158

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $271 (about 0.6× the $451 Medicare rate). Mercyone Centerville Medical Center charges insurers about $158 — below the fair price — a good deal. Located in Centerville, IA.

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	$368 - $1,197	82%
Blue Cross Blue Shieldmajor	$158 - $344	35%
Aetnamajor	$347 - $1,122	77%
Cignamajor	$1,173	260%
Ambetter (Centene)	$583	129%
GEHA	$1,047	232%
HealthPartners	$1,152	256%
Medica	$1,173	260%
Medical Mutual	$1,122	249%
+ 19 smaller / regional plans	$60 - $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 Mercyone Centerville Medical Center 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 Mercyone Centerville Medical Center

Compare: Blood transfusion at other IA hospitals

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