CMS Price Transparency Data

Blood transfusion

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,147
Cash Discount Price: $1,482
vs. Medicare Baseline: 4.76x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Uofl Health - Shelbyville Hospital is $2,147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,482. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.76x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$1,482

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,147

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: $1,482 (329%)

Insurance Median: $2,147 (476%)

Cash: $1,482 (329% of Medicare)

Ins. Median: $2,147 (476% 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 476% of the Medicare baseline (a markup of 376%). 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
Passport	$166 - $4,608	37%
UnitedHealthcare	$198 - $4,396	44%
Wellcare	$198 - $1,474	44%
Blue Cross Blue Shield	$208 - $3,965	46%
Aetna	$209 - $1,552	46%
Humana	$209 - $1,552	46%
Senior Care Communty Of Ky	$380	84%
Devoted	$399	89%
Cigna	$410	91%
Essence Health	$410	91%
Va Ccn	$410	91%
Signature	$422 - $4,608	94%
Communicare	$430	95%
Prime Group Health	$441 - $7,833	98%
Velocity	$475 - $9,031	105%
Key Benefit Administrators	$533	118%
Encore	$744 - $5,529	165%
Multiplan	$818 - $8,294	181%
Omca	$1,178 - $8,754	261%
Corvel	$1,240 - $9,215	275%
Cshn	$1,240 - $9,215	275%
Health Smart	$1,240 - $9,215	275%
National Comp Care	$1,240 - $9,215	275%

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 $1,482.
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 Uofl Health - Shelbyville Hospital 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.