CMS Price Transparency Data

Blood transfusion

Facility: Methodist Hospitals Inc

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$534

about 1.2× the $451 Medicare rate · typically $300–$1,040

modeled estimate · not a bill or quote

What this hospital charges insurers

$469

Below the fair price — a good deal

about $65 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $534 This hospital $469 Cash price $1,093 Hospital's list price $1,562

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $98 Priciest $469

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

A fair price for a Blood transfusion is about $534 (about 1.2× the $451 Medicare rate). Methodist Hospitals Inc charges insurers about $469, or about $1,093 in cash — below the fair price — a good deal. Located in Gary, IN.

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	$383 - $933	85%
Blue Cross Blue Shieldmajor	$85 - $1,343	19%
Aetnamajor	$464 - $1,156	103%
Cignamajor	$600 - $651	133%
Humanamajor	$383 - $464	85%
Ambetter (Centene)	$929	206%
CareSource	$383 - $766	85%
MagnaCare	$2,207	490%
+ 6 smaller / regional plans	$383 - $1,390

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 1,093), 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 Methodist Hospitals Inc 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 Methodist Hospitals Inc

Compare: Blood transfusion at other IN hospitals

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