CMS Price Transparency Data

Blood transfusion

Facility: Mt Sinai Hospital Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$494

about 1.1× the $451 Medicare rate · typically $350–$725

modeled estimate · not a bill or quote

What this hospital charges insurers

$480

About the fair price

about $14 under the fair price · 1.1× Medicare

Medicare pays $451 Fair price $494 This hospital $480 Cash price $493 Hospital's list price $704

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $64 Priciest $480

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

A fair price for a Blood transfusion is about $494 (about 1.1× the $451 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $480, or about $493 in cash — about the fair price. Located in Chicago, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$255 - $473	57%
Blue Cross Blue Shieldmajor	$112 - $736	25%
Aetnamajor	$568 - $2,616	126%
Cignamajor	$310 - $1,431	69%
Humanamajor	$473 - $3,634	105%
Ambetter (Centene)	$264 - $1,215	59%
Health Net	$459 - $635	102%
HealthLink	$163 - $752	36%
Meridian	$473	105%
Molina	$496 - $667	110%
Oscar Health	$276 - $1,273	61%
+ 10 smaller / regional plans	$100 - $694

Government programs also on file: Military & VA.

Excludes 6 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 (about 493), 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 Mt Sinai Hospital 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 Mt Sinai Hospital Medical Center

Compare: Blood transfusion at other IL hospitals

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