CMS Price Transparency Data

Blood transfusion

Facility: Essentia Health Ada

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$450

about 1.0× the $451 Medicare rate · typically $70–$881

modeled estimate · not a bill or quote

What this hospital charges insurers

$428

About the fair price

about $22 under the fair price · 0.9× Medicare

Medicare pays $451 Fair price $450 This hospital $428 Cash price $840 Hospital's list price $1,136

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $428

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $450 (about 1.0× the $451 Medicare rate). Essentia Health Ada charges insurers about $428, or about $840 in cash — about the fair price. Located in Ada, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$545 - $1,028	121%
Blue Cross Blue Shieldmajor	$545 - $990	121%
Aetnamajor	$966	214%
Cignamajor	$755	168%
HealthPartners	$442 - $755	98%
Medica	$452 - $1,024	100%
Sanford Health Plan	$487 - $513	108%
Security Health Plan	$545	121%
UCare	$545 - $747	121%
+ 12 smaller / regional plans	$419 - $990

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 840), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Essentia Health Ada is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Essentia Health Ada

Compare: Blood transfusion at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.