CMS Price Transparency Data

Blood transfusion

Facility: Memorial Hospital and Health Care Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $56
Cash Discount Price: $70
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Memorial Hospital and Health Care Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.12x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $70 (16%)

Insurance Median: $56 (12%)

Cash: $70 (16% of Medicare)

Ins. Median: $56 (12% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$23 - $458	5%
Aetna	$38 - $458	8%
Caresource In Marketplace	$38 - $572	8%
Humana	$38 - $458	8%
Mdwise	$38	8%
Mhs Hoosier Care Connect	$38	8%
Tricare	$38 - $389	8%
Encore	$42	9%
Encore Elite +	$42 - $1,099	9%
Immergrun	$46 - $550	10%
Ambetter / Centene	$49 - $595	11%
Patoka Valley	$49	11%
Cigna	$53	12%
Sagamore	$53	12%
UnitedHealthcare	$60 - $1,374	13%
Noncontracted	$61 - $733	14%
Onecare	$63	14%
Siho	$63	14%
Chamber Care	$64	14%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $70.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital and Health Care Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.