CMS Price Transparency Data

Blood transfusion

Facility: Fayette County Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$239

about 0.5× the $451 Medicare rate · typically $38–$774

modeled estimate · not a bill or quote

What this hospital charges insurers

$88

Below the fair price — a good deal

about $151 under the fair price · 0.2× Medicare

Medicare pays $451 Fair price $239 This hospital $88 Cash price $705 Hospital's list price $705

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 6 of 8 other IL hospitals charge more for the same procedure.

Cheapest $64 Priciest $343

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $239 (about 0.5× the $451 Medicare rate). Fayette County Hospital charges insurers about $88, or about $705 in cash — below the fair price — a good deal. Located in Vandalia, 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	$154 - $1,017	34%
Blue Cross Blue Shieldmajor	$76 - $1,029	17%
Aetnamajor	$40 - $845	9%
Cignamajor	$40 - $919	9%
Humanamajor	$392	87%
HealthLink	$44 - $858	10%
Meridian	$186 - $795	41%
+ 3 smaller / regional plans	$44 - $1,012

Government programs also on file: Medicaid.

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 705), 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 Fayette County Hospital 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 Fayette County Hospital

Compare: Blood transfusion at other IL hospitals

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