CMS Price Transparency Data

Blood transfusion

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,281
Cash Discount Price: $976
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Cameron Memorial Community Hospital Inc is $1,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $976. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.84x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$976

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,281

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: $976 (217%)

Insurance Median: $1,281 (284%)

Cash: $976 (217% of Medicare)

Ins. Median: $1,281 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$98 - $1,016	22%
Caresource Indiana Of In	$98 - $598	22%
Managed Health Services	$98	22%
Mdwise	$98	22%
Aetna	$520 - $1,405	115%
Humana	$520 - $1,404	115%
UnitedHealthcare	$520 - $1,281	115%
Plain Church Group Ministry	$634	141%
Centivo	$885	196%
Lucent	$885	196%
Phcs	$1,220	271%
Php	$1,233	274%
Sagamore Health Network	$1,255	278%
Signature Care	$1,350 - $1,431	300%
Three Rivers Preferred	$1,382	307%
Cigna	$1,403	311%
Coventry	$1,431	317%
Lutheran Preferred	$1,463	325%
Frontpath	$1,496	332%
Encore	$1,497	332%
Corvel	$1,512	335%

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 $976.
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 Cameron Memorial Community Hospital Inc 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.