CMS Price Transparency Data

Blood transfusion

Facility: Hurley Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $438
  • Cash Discount Price: $675
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Hurley Medical Center is $438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.97x the Medicare baseline. Located in One Hurley Plaza, Flint, MI.
Cash / Self-Pay
$675

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $675 (150%)
Insurance Median: $438 (97%)
Cash: $675 (150% of Medicare)
Ins. Median: $438 (97% 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
Jvhl Labs [1068] $5 - $51 1%
Medicaid / KanCare $6 - $231 1%
Medicare (plans) $6 - $442 1%
Alliance Health And Life [1004] $33 - $1,585 7%
Asr Corporation [1007] $33 - $1,585 7%
Health Alliance Plan [1025] $33 - $442 7%
Humana $36 - $442 8%
Tricare $38 - $426 8%
Vha Office Of Community Care [1011] $38 - $426 8%
Mclaren Health Advantage [1038] $39 - $1,043 9%
UnitedHealthcare $42 - $1,212 9%
Aetna $44 - $1,325 10%
Ambetter / Centene $44 - $442 10%
Amerihealth Caritas Vip Care Plus [7025] $44 - $442 10%
Blue Care Network Advantage [7001] $44 - $442 10%
Blue Cross Blue Shield $44 - $442 10%
Freedom Health Care [7022] $44 - $442 10%
Health Alliance Plan Senior [7003] $44 - $442 10%
Independent Care Health Plan [7015] $44 - $442 10%
Mclaren Advantage [7002] $44 - $442 10%
Medica Healthcare Plan, Inc [7012] $44 - $442 10%
Meridian Complete [7024] $44 - $442 10%
Molina [1071] $44 - $442 10%
Pacificare Of Arizona [7013] $44 - $442 10%
Va Medical Center [1061] $44 - $442 10%
Wellcare Health Plan [7021] $44 - $442 10%
Zing Health [7028] $45 - $457 10%
Aaa Auto Insurance [8001] $47 - $1,104 10%
Allstate Auto Insurance [8003] $47 - $1,104 10%
Auto Owners Auto Insurance [8006] $47 - $1,104 10%
Bristol West [8007] $47 - $1,104 10%
Citizens Auto Insurance [8008] $47 - $1,104 10%
Encompass Insurance [8010] $47 - $1,104 10%
Esis [8011] $47 - $1,104 10%
Esurance [8039] $47 - $1,104 10%
Farm Bureau Auto Insurance [8012] $47 - $1,104 10%
Farmers Auto Insurance [8013] $47 - $1,104 10%
Fremont Insurance [8015] $47 - $1,104 10%
Geico Insurance [8016] $47 - $1,104 10%
Generic No Fault Auto [8000] $47 - $1,104 10%
Grange Insurance [8018] $47 - $1,104 10%
Hanover Insurance [8019] $47 - $1,104 10%
Hartford Auto Insurance [8021] $47 - $1,104 10%
Hastings Mutual [8022] $47 - $1,104 10%
Kemper Insurance [8024] $47 - $1,104 10%
Liberty Mutual [8025] $47 - $1,104 10%
Mackinaw Administrators [8040] $47 - $1,104 10%
Meemic Insurance [8026] $47 - $1,104 10%
Mitchell Wcs Frankenmuth 135801 [8014] $47 - $1,104 10%
National General Ins [8017] $47 - $1,104 10%
Nationwide [8028] $47 - $1,104 10%
Pioneer State Mutual Auto [8030] $47 - $1,104 10%
Progressive Auto Insurance [8031] $47 - $1,104 10%
Safeco-Auto [8037] $47 - $1,104 10%
State Auto Group [8033] $47 - $1,104 10%
State Farm Auto Insurance [8034] $47 - $1,104 10%
Usaa [8036] $47 - $1,104 10%
Aarp [1001] $51 - $1,212 11%
Allied Benefit Systems [1005] $51 - $1,585 11%
Allied Insurance [1006] $51 - $2,376 11%
Am First [1088] $51 11%
Ameraplan, Inc [1069] $51 - $2,376 11%
Assurant Health [1008] $51 - $1,585 11%
Automated Benefit Services [1002] $51 - $1,585 11%
Bankers Life [1009] $51 - $1,585 11%
Carelon Behavioral Health [1063] $51 11%
Caro Community Center [1010] $51 - $2,376 11%
Chesterfield Resources [1012] $51 - $2,376 11%
Cigna $51 - $438 11%
Compcare [1015] $51 - $2,376 11%
Coresource [1016] $51 - $1,585 11%
County Health Plan A [1021] $51 11%
Crime Victim Services Comm [1064] $51 11%
Employee Benefit Logistics [1096] $51 - $2,376 11%
First Health Network Generic [1079] $51 - $2,376 11%
Geha [1019] $51 - $1,325 11%
Generic Commercial [1000] $51 - $2,376 11%
Genesee County Free Clinic [1020] $51 11%
Gift Of Life [1023] $51 11%
Globalcare [1024] $51 - $2,376 11%
Golden Rule [1067] $51 - $1,212 11%
Health Partners [1074] $51 - $2,376 11%
Health Scope Benefits [1082] $51 - $1,212 11%
Hospice [1029] $51 - $2,376 11%
Ibew Local 17 [1031] $51 - $2,376 11%
Immergrun [1032] $51 - $2,376 11%
Jp Farley Corporation [1033] $51 - $2,376 11%
Key Benefit Administrators [1089] $51 - $254 11%
Luminare [1085] $51 - $1,325 11%
Mackinaw Administrators [1034] $51 - $2,376 11%
Magellan Health Services [1035] $51 - $2,376 11%
Managed Health Network [1036] $51 - $2,376 11%
Meritain Health [1039] $51 - $1,585 11%
Michigan Insurance Co [1040] $51 - $2,376 11%
Mutual Of Omaha [1080] $51 - $2,376 11%
Ngs [1043] $51 - $2,376 11%
Nippon Life Benefits [1086] $51 - $1,325 11%
Omnicare Health Plan [1066] $51 - $2,376 11%
Pace Great Lakes [1078] $51 - $2,376 11%
Paramount Health Care [1044] $51 - $2,376 11%
Passport Advantage [1045] $51 - $2,376 11%
Phcs/Multiplan Generic [1072] $51 - $2,376 11%
Pioneer State Mutual [1048] $51 - $2,376 11%
Planned Administrators Inc [1049] $51 - $2,376 11%
Plumbers Local 98 Insurance Fund [1091] $51 - $1,585 11%
Safeco [1052] $51 - $2,376 11%
Shasta [1090] $51 11%
Teamsters Health And Welfare Fund [1054] $51 - $2,376 11%
Triwest Wps-Vapc3 [1083] $51 - $426 11%
United Behavioral Health [1057] $51 - $2,376 11%
United Medical Resources [1059] $51 - $1,212 11%
University Of Michigan Health Plan [1046] $51 - $2,376 11%
Upper Penninsula Health [1060] $51 - $2,376 11%
Varipro [1092] $51 - $1,585 11%
Wellnet Healthcare Administrators [1097] $51 - $2,376 11%
Zelis [1093] $51 - $1,585 11%
All Savers Insurance [1073] $57 - $1,212 13%
Asu Risk Management [5002] $61 - $848 14%
Bcn Hurley Employee [6007] $61 - $78 14%
Blue Care Network [6005] $61 - $78 14%
Generic Workers Compensation [5000] $61 - $848 14%
Indiana Insurance [5012] $61 - $848 14%
Medrisk [5024] $61 - $848 14%
Mitchell Frankenmuth Workers Comp [5027] $61 - $848 14%
One Call [5023] $61 - $848 14%
Accident Fund Of Michigan [5001] $63 - $789 14%
Affirmative Insurance [8002] $63 - $1,104 14%
American Claims Management [8004] $63 - $1,104 14%
American Fellowship Mutual Insurance [8005] $63 - $1,104 14%
Auto Owners Work Comp [5003] $63 - $789 14%
Broadspire Insurance [5004] $63 - $789 14%
Cincinnati Insurance Co [8038] $63 - $1,104 14%
Citizens Management [5005] $63 - $789 14%
Compone Administrators [5006] $63 - $789 14%
Dairyland Insurance [8009] $63 - $1,104 14%
Emc Insurance Co [5018] $63 - $789 14%
Farm Bureau Work Comp Ins [5021] $63 - $789 14%
Gallagher Bassett [5009] $63 - $789 14%
Harleysville Insurance [8020] $63 - $1,104 14%
Hartford Work Comp Ins [5010] $63 - $789 14%
Horace Mann Insurance [8023] $63 - $1,104 14%
Liberty Mutual [5013] $63 - $789 14%
Mackinaw Administrators Work Comp [5019] $63 - $789 14%
Michigan Insurance Co Auto [8027] $63 - $1,104 14%
Michigan Municipal League [5014] $63 - $789 14%
Nationwide Workers Compensation [5025] $63 - $789 14%
Northpointe Auto Insurance [8029] $63 - $1,104 14%
Pioneer State Mutual Workers Comp [5026] $63 - $789 14%
Premier Comp Solutions, Llc [5022] $63 - $789 14%
Sedgewick [5015] $63 - $789 14%
Titan Auto Insurance [8035] $63 - $1,104 14%
Travelers [5016] $63 - $789 14%
Priority Health Plan [1051] $68 - $438 15%
Us Department Of Labor [5020] $68 - $552 15%
Abw Coverage No Hmo Listed [3003] $231 51%
Childrens Special Health Services Alt [3009] $231 51%
Childrens Special Healthcare Services (Cshcs) [3002] $231 51%
Genesee County Incarcerated [1104] $231 51%
Harbor Health Plan [9016] $231 51%
Mclaren Health Plan [9006] $231 51%
Mclaren Michild [1070] $231 51%
Meridian Health Plan [9007] $231 51%
Molina Health Care [9008] $231 51%
County Health Plan B [1022] $254 56%
Secura [8032] $1,104 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hurley Plaza, Flint, MI 48503
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals