CMS Price Transparency Data

Blood transfusion

Facility: Cambridge Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $642
Cash Discount Price: $705
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Cambridge Medical Center is $642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $705. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$705

Average discount available for prompt cash payment at this facility.

Insurance Median

$642

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: $705 (156%)

Insurance Median: $642 (142%)

Cash: $705 (156% of Medicare)

Ins. Median: $642 (142% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$87 - $477	19%
Ucare Pmap (A B C D E G N O S U R H)	$253	56%
Medicaid / KanCare	$420	93%
Aetna	$432 - $748	96%
Hennepin Health	$433	96%
Medicare (plans)	$455	101%
Medica	$473 - $963	105%
Scha Msho (D)	$497	110%
Medica Health System	$642 - $1,013	142%
Healthpartners	$852	189%
UnitedHealthcare	$867	192%
Medica Ubh (D)	$881 - $1,057	195%
Health Partners	$929 - $1,094	206%
Medica Mhps	$963	214%
Americas Ppo (Araz)(B D N O R S V)	$971	215%
Americas Ppo (Araz) (B D N H O R S)	$1,057	235%
First Health (A C E G H U B D N O R S)	$1,057	235%
All Other Contracted Care (A B C D E G H N O R S U)	$1,258	279%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $705.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cambridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.