CMS Price Transparency Data

Blood transfusion

Facility: Essentia Health Moose Lake

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $747
  • Cash Discount Price: $840
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Essentia Health Moose Lake is $747. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $840. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.66x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$840

Average discount available for prompt cash payment at this facility.

Insurance Median
$747

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: $840 (186%)
Insurance Median: $747 (166%)
Cash: $840 (186% of Medicare)
Ins. Median: $747 (166% 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.

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 $285 - $1,506 63%
Blue Plus Pmap Pcc Prime $285 - $625 63%
Primewest $419 93%
Itasca Med Care $437 97%
Medica Access $452 - $708 100%
Healthpartners Care Pmap $457 101%
Sanford Healthplan $487 - $513 108%
Advocare/Security Health $534 118%
Freedom Blue Ppo $534 118%
Healthpartners Care Msho / Mcr Adv $534 118%
Imcare Msho Pcc Prime $534 118%
Imcare Msho Ref Req $534 118%
Medica Advantage Solutions $534 118%
Medica Msho/Dual Solutions $534 118%
Medica Prime Solution Group $534 118%
Medicare (plans) $534 118%
Nd Va Administration $534 118%
Platinum Blue/Vantage Blue $534 118%
Primewest Msho $534 118%
Secure Blue Msho $534 118%
Ubh Cost Plan $534 118%
Ubh Msho $534 118%
Ucare Msho $534 118%
UnitedHealthcare $534 - $1,028 118%
Ucare $747 166%
Healthpartners $795 - $905 176%
Medica $812 - $903 180%
Medica Uplan $812 180%
Wea $818 - $875 181%
America'S Ppo $880 195%
Cigna $886 - $905 197%
Healthpartners Pcc Prime $886 - $905 197%
Medica Choice $930 206%
Wps $943 - $954 209%
Aetna $966 214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals