CMS Price Transparency Data

Blood transfusion

Facility: Swedish Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$620

about 1.4× the $451 Medicare rate · typically $381–$1,079

modeled estimate · not a bill or quote

What this hospital charges insurers

$473

Below the fair price — a good deal

about $147 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $620 This hospital $473 Cash price $858 Hospital's list price $858

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 $473

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 $620 (about 1.4× the $451 Medicare rate). Swedish Hospital charges insurers about $473, or about $858 in cash — below the fair price — a good deal. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$434 - $486	96%
Blue Cross Blue Shieldmajor	$139 - $628	31%
Aetnamajor	$473 - $709	105%

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 858), 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 Swedish Hospital 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 Swedish Hospital

Compare: Blood transfusion at other IL hospitals

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