CMS Price Transparency Data

Blood transfusion

Facility: Munson Healthcare Grayling Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $440
  • Cash Discount Price: $1,056
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Munson Healthcare Grayling Hospital is $440. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,056. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$1,056

Average discount available for prompt cash payment at this facility.

Insurance Median
$440

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: $1,056 (234%)
Insurance Median: $440 (98%)
Cash: $1,056 (234% of Medicare)
Ins. Median: $440 (98% 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.

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 $13 - $230 3%
UnitedHealthcare $38 - $745 8%
Mclaren Health Plan $39 - $694 9%
Aetna $44 - $941 10%
Atrium King Centre Skilled Nursing Services $44 - $440 10%
Blue Care Network $44 - $440 10%
Hap (Health Alliance Plan) $44 - $994 10%
Humana $44 - $440 10%
Medicare (plans) $44 - $440 10%
Molina $44 - $475 10%
Northern Michigan Mennonite Group $44 - $440 10%
Priority Health $44 - $440 10%
Promedica $44 - $440 10%
Wellcare (Meridian) $44 - $440 10%
Wellspring Lutheran Services Skilling Nursing Services $44 - $440 10%
Michigan Amish Medical Board $50 - $440 11%
Cofinity $56 - $969 12%
Provider Network Of America Group Health $61 - $1,056 14%
Asr/Physicians Care $65 - $994 14%
Cigna $69 - $107 15%
Nomi Health $70 - $994 16%
Employee Benefits Logistics $74 - $747 16%
Meridian $230 51%
Hospice Of Michigan $745 165%
Munson Hospice $852 - $869 189%
Medical Cost Savings Solution $994 221%
The Robbins Group And Regency Employee Benefits $994 221%
Wds Enterprise Group Planning $994 221%
First Health/Coventry Network $1,056 234%
Three Rivers Provider Network $1,056 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals