CMS Price Transparency Data
Blood transfusion
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $611
- Cash Discount Price: $10,777
- vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at St Joe Mercy Hospital System Livonia is $611. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,777. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.36x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$10,777
Average discount available for prompt cash payment at this facility.
Insurance Median
$611
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: $10,777 (2391%)
Insurance Median: $611 (136%)
Cash: $10,777 (2391% of Medicare)
Ins. Median: $611 (136% 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
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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 | $68 - $431 | 15% |
| U Of M Health Plan | $89 | 20% |
| Asr Health Benefits | $98 | 22% |
| Caresource | $98 | 22% |
| Hap | $98 - $878 | 22% |
| Varipro | $98 | 22% |
| Bcn Domestic | $110 | 24% |
| Blue Benefit Administrators Of Massachusetts | $110 | 24% |
| Blue Care Network | $110 | 24% |
| Blue Distinction Transplant | $110 | 24% |
| Blue Shield - Ca | $110 | 24% |
| Blue Shield - Id (Regence) | $110 | 24% |
| Blue Shield - Ny Highmark Northeastern | $110 | 24% |
| Blue Shield - Ny Highmark Western | $110 | 24% |
| Blue Shield - Pa (Highmark) | $110 | 24% |
| Blue Shield - Wa (Regence) | $110 | 24% |
| Health Choices | $110 - $909 | 24% |
| Kaiser Domestic | $110 | 24% |
| Medicaid / KanCare | $242 - $246 | 54% |
| Priority Health | $394 - $438 | 87% |
| Wc Accident Fund | $404 | 90% |
| Wc Advantage | $404 | 90% |
| Wc Aig | $404 | 90% |
| Wc Allied | $404 | 90% |
| Wc Amerisure | $404 | 90% |
| Wc Amtrust | $404 | 90% |
| Wc Asu Risk Mgt | $404 | 90% |
| Wc Berkley Admin | $404 | 90% |
| Wc Broadspire | $404 | 90% |
| Wc Bunch & Associates | $404 | 90% |
| Wc Ccmsi | $404 | 90% |
| Wc Emc Insurance Company | $404 | 90% |
| Wc Esis | $404 | 90% |
| Wc Fcci | $404 | 90% |
| Wc Federated | $404 | 90% |
| Wc Gallagher Bassett | $404 | 90% |
| Wc Genex Care For Ohio | $404 | 90% |
| Wc Guard Insurance Company | $404 | 90% |
| Wc Hartford | $404 | 90% |
| Wc Liberty Mutual | $404 | 90% |
| Wc Meijers | $404 | 90% |
| Wc Michigan | $404 | 90% |
| Wc Mitchell Frankenmuth | $404 | 90% |
| Wc Pma | $404 | 90% |
| Wc Sedgwick | $404 | 90% |
| Wc Sentry | $404 | 90% |
| Wc Travelers | $404 | 90% |
| Wc Tristar | $404 | 90% |
| Wc Walmart | $404 | 90% |
| Wc Zurich | $404 | 90% |
| Aetna | $431 - $830 | 96% |
| Blue Care Network Advantage | $431 | 96% |
| Hospice Of Michigan | $431 | 96% |
| Medicare (plans) | $431 - $462 | 96% |
| Align Senior Care | $440 | 98% |
| Angela Hospice | $440 | 98% |
| UnitedHealthcare | $453 - $917 | 101% |
| Cca - Zing Health | $465 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $496 | 110% |
| Molina Marketplace | $572 | 127% |
| Acs Benefit Services | $611 | 136% |
| Allied Benefit Systems | $611 | 136% |
| Claimchoice Adminstrators | $611 | 136% |
| Consociate | $611 | 136% |
| Cypress Benefit Administrators | $611 | 136% |
| Forest County Potawatomi | $611 | 136% |
| Health Smart | $611 | 136% |
| Healthgram | $611 | 136% |
| Healthscope | $611 | 136% |
| Secureone Preferred United Plans | $611 | 136% |
| Sisco Benefits | $611 | 136% |
| The Health Plan | $611 | 136% |
| Trustmark Small Business Benefits | $611 | 136% |
| Unified Group Services | $611 | 136% |
| Webtpa | $611 | 136% |
| Health Cost Solutions | $682 | 151% |
| Vitalcore | $682 | 151% |
| Wellpath | $682 | 151% |
| Geha | $830 - $917 | 184% |
| Luminare Health (Detroit) | $830 | 184% |
| Meritain | $830 | 184% |
| Health Partners | $878 | 195% |
| Tufts Health Plan | $878 | 195% |
| Cigna | $896 - $1,145 | 199% |
| Access Health | $909 | 202% |
| Acclaim | $909 | 202% |
| Administrative Concepts | $909 | 202% |
| Allegeant | $909 | 202% |
| Ameriben | $909 | 202% |
| American Family | $909 | 202% |
| American Healthcare Alliance | $909 | 202% |
| American National | $909 | 202% |
| American Republic | $909 | 202% |
| Amerihealth | $909 | 202% |
| Aultcare | $909 | 202% |
| Automated Benefit Services | $909 | 202% |
| Auxiant | $909 | 202% |
| Benefit Administrative Systems,Llc | $909 | 202% |
| Boon Chapman | $909 | 202% |
| Cam Administrative Services | $909 | 202% |
| Christian Brother Services | $909 | 202% |
| Christian Brothers Holy Cross | $909 | 202% |
| Comprehensive Benefits | $909 | 202% |
| Continental Life Insurance | $909 | 202% |
| Custom Benefit Administrators | $909 | 202% |
| Employee Benefit Concepts | $909 | 202% |
| Employee Benefit Management | $909 | 202% |
| Enterprise Group Planning | $909 | 202% |
| Freedom Life Insurance Company | $909 | 202% |
| Group Administrators | $909 | 202% |
| Group Marketing Services | $909 | 202% |
| Guardian | $909 | 202% |
| Health America | $909 | 202% |
| Healthcare Management Admin | $909 | 202% |
| Healthez | $909 | 202% |
| Humana | $909 | 202% |
| Insight | $909 | 202% |
| Intercare | $909 | 202% |
| Jfp Benefit Management | $909 | 202% |
| Jp Farley Corporation | $909 | 202% |
| Key Benefit Administrator | $909 | 202% |
| Liberty Union Life Assurance Co | $909 | 202% |
| Lucent Health | $909 | 202% |
| Luminare Health | $909 | 202% |
| Magnacare | $909 | 202% |
| Medben | $909 | 202% |
| Medcost | $909 | 202% |
| Medical Mutual | $909 | 202% |
| Mutual Health Services | $909 | 202% |
| Mutual Of Omaha | $909 | 202% |
| Ncas | $909 | 202% |
| Nippon Life Ins | $909 | 202% |
| Nova | $909 | 202% |
| Painters Union Insurance Fund | $909 | 202% |
| Physicians Mutual | $909 | 202% |
| Plumbers Local 98 Insurance Fund | $909 | 202% |
| Prairie States | $909 | 202% |
| Preferred One | $909 | 202% |
| Primary Physician Care | $909 | 202% |
| Professional Benefit Administrators | $909 | 202% |
| Siho Insurance Services | $909 | 202% |
| The Loomis Company | $909 | 202% |
| Unicare | $909 | 202% |
| Us Health And Life | $909 | 202% |
| Valenz | $909 | 202% |
| Western & Southern Financial Group | $909 | 202% |
| Wps | $909 | 202% |
| 1199 National Benefit Fund | $916 | 203% |
| Allied National Global Care | $916 | 203% |
| Asrm - Reliance Standard Life Insurance | $916 | 203% |
| Christian Care Ministry | $916 | 203% |
| Dean Health | $916 | 203% |
| Fallon Health | $916 | 203% |
| Family Life Insurance Company | $916 | 203% |
| Ghc Scw | $916 | 203% |
| Group Pension Administrators | $916 | 203% |
| International Benefit Administrators | $916 | 203% |
| Lifetime Benefit Solutions | $916 | 203% |
| Manhattan Life | $916 | 203% |
| Medi Share | $916 | 203% |
| Multiplan | $916 | 203% |
| Mvp | $916 | 203% |
| Pai | $916 | 203% |
| Pan-American Life | $916 | 203% |
| Paramount Hmo | $916 | 203% |
| Phcs | $916 | 203% |
| Trinity Health Share | $916 | 203% |
| First Health | $935 | 207% |
| Employee Benefit Logistic | $990 | 220% |
| Coventry | $1,145 | 254% |
| Prime Health Services | $1,145 | 254% |
| Three Rivers Provider Network | $1,288 | 286% |
| Carelon Behavioral Health | $1,431 | 317% |
| Cmh Detroit Wayne Integrated Health Network | $1,431 | 317% |
| Cmh Lenawee County | $1,431 | 317% |
| Cmh Livingston County | $1,431 | 317% |
| Cmh Misc | $1,431 | 317% |
| Cmh Monroe County | $1,431 | 317% |
| Cmh Washtenaw County | $1,431 | 317% |
| Magellan Behavioral Health | $1,431 | 317% |