CMS Price Transparency Data

Blood transfusion

Facility: University of Illinois Hospital and Clinics

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $57
  • Cash Discount Price: $1,097
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at University of Illinois Hospital and Clinics is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,097. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.13x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$1,097

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $1,097 (243%)
Insurance Median: $57 (13%)
Cash: $1,097 (243% of Medicare)
Ins. Median: $57 (13% 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
Molina $35 - $66 8%
Coventry $38 - $44 8%
Aetna $44 - $66 10%
Health Alliance $44 - $59 10%
Longevity Health Plan $44 10%
Sinai Medical Group $44 10%
United $44 - $56 10%
UnitedHealthcare $44 10%
Clear Springs Health $45 10%
Zing Health $45 10%
Village Md $46 - $55 10%
Wellcare $46 10%
Blue Cross Blue Shield $48 - $77 11%
Uic Physician Group $48 11%
St Anthony Health Network $51 11%
Franciscan Hammond Clinic Llc $52 12%
Union Health Service $52 12%
Physician Care Network Inc $53 12%
Dolton Medical Associates $55 12%
Mac Neal Health Providers $55 12%
Mercy Physician Association $55 12%
Unified Physicians Network $55 12%
West Suburban Health Providers $55 12%
Lake County Physician Associates $57 13%
Northshore Physician Association $57 13%
Northwest Primary Care Alliance $57 13%
Southwest Physician Group Ltd $57 13%
Valenz $58 13%
Fox Valey Medicine Ltd $59 13%
Oak West Primary Care Alliance $59 13%
Campus Care $65 14%
Healthsmart $65 14%
The Alliance $65 14%
County Care Health Plan $66 15%
Meridian $66 15%
Youthcare Healthchoice $66 15%
Cigna $69 15%
Healthlink $69 - $2,385 15%
Caterpillar $77 17%
Humboldt Park Health Partners $77 17%
Physicians Health Association Of Il $77 17%
Resurrection Phys Provider Group $77 17%
Multiplan $92 - $191 20%
Equian $191 42%
Zelis $191 42%
Integrated Health Plan $210 47%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals