CMS Price Transparency Data

Blood transfusion

Facility: Olivia Hospital & Clinic

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $552
Cash Discount Price: $831
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Olivia Hospital & Clinic is $552. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $831. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.22x the Medicare baseline. Located in 100 Healthy Way, Olivia, MN.

Cash / Self-Pay

$831

Average discount available for prompt cash payment at this facility.

Insurance Median

$552

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: $831 (184%)

Insurance Median: $552 (122%)

Cash: $831 (184% of Medicare)

Ins. Median: $552 (122% 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	$234 - $1,342	52%
Medicare (plans)	$455 - $488	101%
UnitedHealthcare	$470 - $1,369	104%
Medicaid / KanCare	$475 - $626	105%
Healthpartners [900713]	$1,173 - $1,206	260%
Medica [900156]	$1,286 - $1,323	285%
First Health Network [950334]	$1,304 - $1,341	289%

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 $831.
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 Olivia Hospital & Clinic 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.