CMS Price Transparency Data

Blood transfusion

Facility: Wyandotte Hospital and Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $42
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Wyandotte Hospital and Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.09x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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%)
Insurance Median: $42 (9%)
Ins. Median: $42 (9% 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
Aetna $22 - $1,958 5%
Hap $22 - $976 5%
Mclaren $22 5%
Meridian Health Plan Of Mi $22 - $532 5%
Priority Health $22 - $428 5%
Amerihealth Michigan $27 - $420 6%
Hap Caresource $27 - $428 6%
Mclaren Health Plan Inc. $27 - $42 6%
Meridian $27 - $42 6%
Molina $29 - $578 6%
Priority $29 - $42 6%
Humana $33 - $437 7%
Pace Se Mi $40 9%
Bcn $42 - $428 9%
Blue Cross Blue Shield $42 - $428 9%
Cca Health Mi $42 9%
Health Alliance Plan Of Michigan $42 9%
Mount Carmel Health Plan $42 - $428 9%
United Behavioral Health, Inc. $42 9%
UnitedHealthcare $42 - $1,160 9%
Wellcare Ma $42 9%
Cigna $47 - $1,265 10%
Cofinity $49 11%
Vitalcore Physicians Group Of Mi $54 - $985 12%
Cofinity Group Health $98 - $809 22%
Pace Of Se Mi $407 90%
Cca Health Michigan $428 95%
Erickson $428 95%
Mclaren Health $428 - $796 95%
Molina Mi Health Link $428 95%
Wellcare $433 96%
Multiplan, Inc. $1,258 279%
University Of Michigan $1,502 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals