CMS Price Transparency Data

Blood transfusion

Facility: Hammond Henry Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $313
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Hammond Henry Hospital is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.69x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $364 (81%)
Insurance Median: $313 (69%)
Cash: $364 (81% of Medicare)
Ins. Median: $313 (69% 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
Tricare $105 23%
Aetna $117 - $963 26%
Health Alliance Mcare Adv $117 26%
UnitedHealthcare $117 - $299 26%
Humana $118 - $364 26%
Quad City Community Hc-All Plans $202 45%
Wellmark Of Ia-All Plans $202 45%
Blue Cross Blue Shield $222 - $963 49%
Springfield Armory-All Plans $263 58%
Ambetter / Centene $283 63%
Health Alliance-All Other Plans $303 67%
Multiplan Integrated Hp $303 67%
Multiplan Pponext $323 72%
Osf Direct Access Network-All Plans $323 72%
Multiplan-All Other Plans $343 76%
Corvel-All Plans $364 81%
Healthsmart Adult-All Other Plans $364 81%
Healthsmart Pediatric $364 81%
Hfn-All Plans $364 81%
Multiplan Beech Street $364 81%
Multiplan Phcs Adult $364 81%
Multiplan Phcs Pediatric $364 81%
Usa Mco-All Plans $364 81%
Meridian Health Plan-All Plans $963 214%
Cigna $1,315 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 N College Avenue, Geneseo, IL 61254
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals