CMS Price Transparency Data

Blood transfusion

Facility: Mercy Health Saint Mary's

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$321

about 0.7× the $451 Medicare rate · typically $80–$660

modeled estimate · not a bill or quote

What this hospital charges insurers

$308

About the fair price

about $13 under the fair price · 0.7× Medicare

Medicare pays $451 Fair price $321 This hospital $308 Hospital's list price $801

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $68 Priciest $308

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $321 (about 0.7× the $451 Medicare rate). Mercy Health Saint Mary's charges insurers about $308 — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$453 - $801	101%
Blue Cross Blue Shieldmajor	$162 - $431	36%
Aetnamajor	$354 - $634	79%
Cignamajor	$584	130%
Humanamajor	$610 - $801	135%
Kaiser Permanentemajor	$162	36%
AmeriHealth	$610	135%
CareSource	$523	116%
Dean Health Plan	$585	130%
GEHA	$503 - $609	112%
Medical Mutual	$503	112%
Molina	$571	127%
MVP Health Care	$585	130%
Oscar Health	$563	125%
Paramount	$585	130%
Priority Health	$835 - $852	185%
UniCare	$610	135%
+ 144 smaller / regional plans	$89 - $801

Government programs also on file: Medicare, Medicaid.

Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Health Saint Mary's is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Health Saint Mary's

Compare: Blood transfusion at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.