CMS Price Transparency Data
Blood transfusion
Facility: Chelsea Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $684
- Cash Discount Price: $1,975
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Chelsea Hospital is $684. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,975. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.52x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$1,975
Average discount available for prompt cash payment at this facility.
Insurance Median
$684
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: $1,975 (438%)
Insurance Median: $684 (152%)
Cash: $1,975 (438% of Medicare)
Ins. Median: $684 (152% 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 | $89 - $432 | 20% |
| U Of M Health Plan | $89 | 20% |
| Asr Health Benefits | $90 | 20% |
| Caresource | $90 | 20% |
| Hap | $90 - $1,112 | 20% |
| Varipro | $90 | 20% |
| Bcn Domestic | $144 | 32% |
| Blue Benefit Administrators Of Massachusetts | $144 | 32% |
| Blue Care Network | $144 | 32% |
| Blue Distinction Transplant | $144 | 32% |
| Blue Shield - Ca | $144 | 32% |
| Blue Shield - Id (Regence) | $144 | 32% |
| Blue Shield - Ny Highmark Northeastern | $144 | 32% |
| Blue Shield - Ny Highmark Western | $144 | 32% |
| Blue Shield - Pa (Highmark) | $144 | 32% |
| Blue Shield - Wa (Regence) | $144 | 32% |
| Health Choices | $144 - $952 | 32% |
| Kaiser Domestic | $144 | 32% |
| Medicaid / KanCare | $246 - $251 | 55% |
| Wc Accident Fund | $378 | 84% |
| Wc Advantage | $378 | 84% |
| Wc Aig | $378 | 84% |
| Wc Allied | $378 | 84% |
| Wc Amerisure | $378 | 84% |
| Wc Amtrust | $378 | 84% |
| Wc Asu Risk Mgt | $378 | 84% |
| Wc Berkley Admin | $378 | 84% |
| Wc Broadspire | $378 | 84% |
| Wc Bunch & Associates | $378 | 84% |
| Wc Ccmsi | $378 | 84% |
| Wc Emc Insurance Company | $378 | 84% |
| Wc Esis | $378 | 84% |
| Wc Fcci | $378 | 84% |
| Wc Federated | $378 | 84% |
| Wc Gallagher Bassett | $378 | 84% |
| Wc Genex Care For Ohio | $378 | 84% |
| Wc Guard Insurance Company | $378 | 84% |
| Wc Hartford | $378 | 84% |
| Wc Liberty Mutual | $378 | 84% |
| Wc Meijers | $378 | 84% |
| Wc Michigan | $378 | 84% |
| Wc Mitchell Frankenmuth | $378 | 84% |
| Wc Pma | $378 | 84% |
| Wc Sedgwick | $378 | 84% |
| Wc Sentry | $378 | 84% |
| Wc Travelers | $378 | 84% |
| Wc Tristar | $378 | 84% |
| Wc Walmart | $378 | 84% |
| Wc Zurich | $378 | 84% |
| Priority Health | $414 - $460 | 92% |
| Aetna | $432 - $787 | 96% |
| Blue Care Network Advantage | $432 | 96% |
| Medicare (plans) | $432 - $441 | 96% |
| Align Senior Care | $441 | 98% |
| Angela Hospice | $441 | 98% |
| Arbor Hospice | $441 | 98% |
| Heartland Hospice | $441 | 98% |
| UnitedHealthcare | $454 - $962 | 101% |
| Cca - Zing Health | $467 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $497 | 110% |
| Molina Marketplace | $574 | 127% |
| Health Cost Solutions | $684 | 152% |
| Vitalcore | $684 | 152% |
| Wellpath | $684 | 152% |
| Geha | $787 - $962 | 175% |
| Meritain | $787 | 175% |
| Access Health | $952 | 211% |
| Acclaim | $952 | 211% |
| Administrative Concepts | $952 | 211% |
| Allegeant | $952 | 211% |
| Ameriben | $952 | 211% |
| American Family | $952 | 211% |
| American Healthcare Alliance | $952 | 211% |
| American National | $952 | 211% |
| American Republic | $952 | 211% |
| Amerihealth | $952 | 211% |
| Aultcare | $952 | 211% |
| Automated Benefit Services | $952 | 211% |
| Auxiant | $952 | 211% |
| Benefit Administrative Systems,Llc | $952 | 211% |
| Boon Chapman | $952 | 211% |
| Cam Administrative Services | $952 | 211% |
| Christian Brother Services | $952 | 211% |
| Christian Brothers Holy Cross | $952 | 211% |
| Comprehensive Benefits | $952 | 211% |
| Continental Life Insurance | $952 | 211% |
| Custom Benefit Administrators | $952 | 211% |
| Employee Benefit Concepts | $952 | 211% |
| Employee Benefit Management | $952 | 211% |
| Enterprise Group Planning | $952 | 211% |
| Freedom Life Insurance Company | $952 | 211% |
| Group Administrators | $952 | 211% |
| Group Marketing Services | $952 | 211% |
| Guardian | $952 | 211% |
| Health America | $952 | 211% |
| Healthcare Management Admin | $952 | 211% |
| Healthez | $952 | 211% |
| Humana | $952 | 211% |
| Insight | $952 | 211% |
| Intercare | $952 | 211% |
| Jfp Benefit Management | $952 | 211% |
| Jp Farley Corporation | $952 | 211% |
| Key Benefit Administrator | $952 | 211% |
| Liberty Union Life Assurance Co | $952 | 211% |
| Lucent Health | $952 | 211% |
| Luminare Health | $952 | 211% |
| Luminare Health (Detroit) | $952 | 211% |
| Magnacare | $952 | 211% |
| Medben | $952 | 211% |
| Medcost | $952 | 211% |
| Medical Mutual | $952 | 211% |
| Mutual Health Services | $952 | 211% |
| Mutual Of Omaha | $952 | 211% |
| Ncas | $952 | 211% |
| Nippon Life Ins | $952 | 211% |
| Nova | $952 | 211% |
| Painters Union Insurance Fund | $952 | 211% |
| Physicians Mutual | $952 | 211% |
| Plumbers Local 98 Insurance Fund | $952 | 211% |
| Prairie States | $952 | 211% |
| Preferred One | $952 | 211% |
| Primary Physician Care | $952 | 211% |
| Professional Benefit Administrators | $952 | 211% |
| Siho Insurance Services | $952 | 211% |
| Sisco Benefits | $952 | 211% |
| The Loomis Company | $952 | 211% |
| Unicare | $952 | 211% |
| Us Health And Life | $952 | 211% |
| Valenz | $952 | 211% |
| Western & Southern Financial Group | $952 | 211% |
| Wps | $952 | 211% |
| Coventry | $978 | 217% |
| First Health | $978 | 217% |
| Employee Benefit Logistic | $993 | 220% |
| Hospice Of Michigan | $1,002 | 222% |
| Cigna | $1,010 | 224% |
| 1199 National Benefit Fund | $1,073 | 238% |
| Allied National Global Care | $1,073 | 238% |
| Asrm - Reliance Standard Life Insurance | $1,073 | 238% |
| Christian Care Ministry | $1,073 | 238% |
| Dean Health | $1,073 | 238% |
| Fallon Health | $1,073 | 238% |
| Family Life Insurance Company | $1,073 | 238% |
| Ghc Scw | $1,073 | 238% |
| Group Pension Administrators | $1,073 | 238% |
| International Benefit Administrators | $1,073 | 238% |
| Lifetime Benefit Solutions | $1,073 | 238% |
| Manhattan Life | $1,073 | 238% |
| Medi Share | $1,073 | 238% |
| Multiplan | $1,073 | 238% |
| Mvp | $1,073 | 238% |
| Pai | $1,073 | 238% |
| Pan-American Life | $1,073 | 238% |
| Paramount Hmo | $1,073 | 238% |
| Phcs | $1,073 | 238% |
| Trinity Health Share | $1,073 | 238% |
| Health Partners | $1,112 | 247% |
| Tufts Health Plan | $1,112 | 247% |
| Prime Health Services | $1,145 | 254% |
| Three Rivers Provider Network | $1,288 | 286% |
| Cmh Detroit Wayne Integrated Health Network | $1,431 | 317% |
| Cmh Jackson County/Lifeways | $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% |