CMS Price Transparency Data

Blood transfusion

Facility: Lakeview Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $811
Cash Discount Price: $483
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Lakeview Memorial Hospital is $811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $483. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.80x the Medicare baseline. Located in 927 West Churchill Street, Stillwater, MN.

Cash / Self-Pay

$483

Average discount available for prompt cash payment at this facility.

Insurance Median

$811

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: $483 (107%)

Insurance Median: $811 (180%)

Cash: $483 (107% of Medicare)

Ins. Median: $811 (180% 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	$254 - $677	56%
Medicaid / KanCare	$391 - $630	87%
Medicare (plans)	$444 - $464	99%
UnitedHealthcare	$459 - $1,227	102%
Medica [900156]	$737 - $1,187	164%
Healthpartners [900713]	$816	181%
First Health Network [950334]	$924 - $1,488	205%

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 $483.
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 Lakeview Memorial Hospital 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.