CMS Price Transparency Data

Blood transfusion

Facility: Deaconess Hospital Inc

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $426
  • Cash Discount Price: $623
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Deaconess Hospital Inc is $426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.95x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$623

Average discount available for prompt cash payment at this facility.

Insurance Median
$426

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: $623 (138%)
Insurance Median: $426 (95%)
Cash: $623 (138% of Medicare)
Ins. Median: $426 (95% 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
Aetna $15 - $1,135 3%
Humana $15 - $472 3%
Medicaid / KanCare $15 - $472 3%
UnitedHealthcare $15 - $3,517 3%
Blue Cross Blue Shield $27 - $1,369 6%
Meridiancomplete (Il) $27 - $426 6%
Meridianhealth (Il) $27 6%
Youthcare (Meridian Il) $27 6%
Youthcare (Wellcare Il) $27 6%
Mhnet $30 7%
Caresource In $38 8%
Medicare (plans) $38 - $426 8%
Meridiancare (Il) $38 - $426 8%
Molina (Il) Mmai $38 - $426 8%
Molina Il $38 - $426 8%
Mytru Advantage $38 - $426 8%
Triwest Vapc3 $38 - $405 8%
Wellcare (Il) Mmai $38 - $426 8%
Ambetter / Centene $48 - $639 11%
Caresource In Marketplace $49 - $639 11%
Alliance Coal $53 - $831 12%
Allied National $53 - $1,133 12%
Cigna $53 - $1,322 12%
Claimdoc $53 - $1,133 12%
Claritev (Formerly Phcs Multiplan) $53 - $1,227 12%
First Health $53 - $1,397 12%
Healthscope $53 - $1,127 12%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $53 - $426 12%
Hopetrust $57 - $1,023 13%
Hstechnology $57 - $1,023 13%
Patoka Valley Health Care (80/20 Plan) $57 - $858 13%
Patoka Valley Health Care (90/10 Plan) $57 - $800 13%
Center Care Narrow Select $59 - $1,114 13%
Center Care Open Access $59 - $1,208 13%
Encircle/Encore Combined $60 - $1,046 13%
Encircle/Encore Elite+ $60 - $938 13%
Encircle/Encore Prime $60 - $953 13%
United Behavioral Health $60 13%
Noncontracted $61 - $682 14%
Deaconess Onecare $63 - $853 14%
Iu Health Network $63 - $968 14%
Naphcare $63 - $703 14%
Ky Racing Health & Welfare Fund $70 - $623 16%
Self-Pay $70 - $623 16%
Chamber Care $120 - $1,023 27%
Parkview Signature Care $136 - $1,284 30%
Healthlink $150 - $1,605 33%
National Rural Electric $176 - $1,661 39%
Immergrun $512 - $789 114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals