CMS Price Transparency Data

Blood transfusion

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$477

about 1.1× the $451 Medicare rate · typically $324–$767

modeled estimate · not a bill or quote

What this hospital charges insurers

$494

About the fair price

about $17 over the fair price · 1.1× Medicare

Medicare pays $451 Fair price $477 This hospital $494 Cash price $470 Hospital's list price $598

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 $494

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 $477 (about 1.1× the $451 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $494, or about $470 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	$470 - $598	104%
Blue Cross Blue Shieldmajor	$447 - $598	99%
Aetnamajor	$470 - $598	104%
Cignamajor	$365 - $598	81%
Humanamajor	$470 - $518	104%
Ambetter (Centene)	$598	133%
Devoted Health	$470	104%
Health Net	$565	125%
HealthPartners	$470 - $541	104%
Meridian	$494 - $532	110%
Molina	$485 - $598	108%
WellCare	$470	104%
+ 11 smaller / regional plans	$49 - $598

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 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 470), 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 Presence Saints Mary and Elizabeth 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 Presence Saints Mary and Elizabeth Medical Center

Compare: Blood transfusion at other IL hospitals

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