Blood transfusion cost in MD
What a blood transfusion costs at MD hospitals — and the fair price to aim for.
Typical commercial prices here are +62% above the fair benchmark (1.62×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
This hospital prices routine shoppable procedures at 2.1× Medicare (median 1.69× Fair BaseRate) while upper-quartile commercial rates jump +30% to 2.20× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.25× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 74% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (95.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 1.69× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.20×) jump +30% above the median procedure ratio (Q50 1.69×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, MD hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, MD’s fair BaseRate ($607) is above the national fair price of $494.
Cheapest MD hospitals for a blood transfusion
Audit a Bill or Quote at MD Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $703
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $703).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask MD Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $607 Fair BaseRate ($352 Medicare)
Your bill ($1,937) is $1,330 above the denoised Fair BaseRate ($607) and 5.5× the $352 Medicare rate.