CMS Price Transparency Data

Blood transfusion

Facility: Mercy Health Lakeshore Campus

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$306
about 0.7× the $451 Medicare rate · typically $50–$631
modeled estimate · not a bill or quote
What this hospital charges insurers
$332
About the fair price
about $26 over the fair price · 0.7× Medicare
Medicare pays $451 Fair price $306 This hospital $332 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 $332

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 $306 (about 0.7× the $451 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $332 — about the fair price. Located in Shelby, 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 $281 - $721 62%
Blue Cross Blue Shieldmajor $196 - $685 43%
Aetnamajor $200 - $638 44%
Cignamajor $695 154%
Humanamajor $717 159%
Kaiser Permanentemajor $685 152%
AmeriHealth $717 159%
CareSource $715 159%
Dean Health Plan $689 153%
GEHA $638 - $721 142%
Medical Mutual $717 159%
Molina $333 74%
MVP Health Care $689 153%
Oscar Health $246 55%
Paramount $689 153%
Priority Health $722 160%
UniCare $717 159%
+ 119 smaller / regional plans $89 - $735
Government programs also on file: Medicare, Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals