CMS Price Transparency Data

Blood transfusion

Facility: Mosaic Life Care at St Joseph

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $837
  • Cash Discount Price: $935
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Mosaic Life Care at St Joseph is $837. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $935. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.86x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.
Cash / Self-Pay
$935

Average discount available for prompt cash payment at this facility.

Insurance Median
$837

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: $935 (207%)
Insurance Median: $837 (186%)
Cash: $935 (207% of Medicare)
Ins. Median: $837 (186% 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
Aetna $31 - $910 7%
Medicaid / KanCare $31 - $257 7%
UnitedHealthcare $31 - $1,551 7%
Blue Cross Blue Shield $32 - $955 7%
Amerigroup Of Iowa $34 8%
Iowa Total Care $34 8%
Molina Of Iowa $34 8%
Ambetter / Centene $68 - $837 15%
Multiplan $129 - $990 29%
Centurion $440 - $770 98%
Geha Shared Services $893 198%
Freedom Select Healthlink $944 209%
Healthlink Open Access $944 209%
Preferred Health Professional $944 209%
Sisco $944 209%
Cigna $968 215%
Home State Of Missouri $1,595 354%
Healthy Blue Of Missouri $1,958 434%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5325 Faraon Street, Saint Joseph, MO 64506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals