CMS Price Transparency Data

Blood transfusion

Facility: Amita Health Resurrection Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $470
  • Cash Discount Price: $470
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Amita Health Resurrection Medical Center is $470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 7435 W Talcott Avenue, Chicago, IL.
Cash / Self-Pay
$470

Average discount available for prompt cash payment at this facility.

Insurance Median
$470

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: $470 (104%)
Insurance Median: $470 (104%)
Cash: $470 (104% of Medicare)
Ins. Median: $470 (104% 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
Ravenswood Physicians Associates Ipa $49 - $470 11%
Resurrection Physicians Provider Group Ipa $49 - $470 11%
Aetna $350 - $1,225 78%
Blue Cross Blue Shield $350 - $659 78%
Countycare $350 78%
Humana $350 - $518 78%
Medicaid / KanCare $350 78%
Standard Eapg Logic $350 78%
Cigna $365 - $2,279 81%
Meridian $368 - $494 82%
Molina $368 - $706 82%
Celtic (Wellcare) $470 104%
Clear Spring Health Of Illinois $470 104%
Devoted Health $470 104%
Essential Health Partners $470 - $541 104%
Illinois Physicians Alliance $470 104%
Longevity Health Plan Of Illinois $470 104%
Medicare (plans) $470 104%
Self-Pay $470 104%
Tricare $470 104%
UnitedHealthcare $470 - $1,040 104%
Zing Health Provider Network $485 108%
Providers Partners Health Plan $494 110%
Access Community Health Network $565 125%
Clifton Health System $729 162%
Ambetter / Centene $762 169%
Hfn Inc (Healthcare Finest Network) $993 220%
Coventry $1,014 225%
Workers Comp $1,014 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7435 W Talcott Avenue, Chicago, IL 60631
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals