CMS Price Transparency Data

Blood transfusion

Facility: St Alexius Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$567

about 1.3× the $451 Medicare rate · typically $390–$875

modeled estimate · not a bill or quote

What this hospital charges insurers

$469

Below the fair price — a good deal

about $98 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $567 This hospital $469

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 $469

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 $567 (about 1.3× the $451 Medicare rate). St Alexius Medical Center charges insurers about $469 — below the fair price — a good deal. Located in Hoffman Estates, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$433 - $460	96%
Blue Cross Blue Shieldmajor	$456 - $807	101%
Aetnamajor	$456 - $479	101%
Humanamajor	$456	101%
Ambetter (Centene)	$738	164%
Bright Health	$570	126%
Molina	$469	104%
+ 3 smaller / regional plans	$433 - $706

Government programs also on file: Medicare.

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, 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 St Alexius 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 St Alexius Medical Center

Compare: Blood transfusion at other IL hospitals

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