CMS Price Transparency Data

Blood transfusion

Facility: Northeast Regional Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$618

about 1.4× the $451 Medicare rate · typically $333–$807

modeled estimate · not a bill or quote

What this hospital charges insurers

$592

About the fair price

about $26 under the fair price · 1.3× Medicare

Medicare pays $451 Fair price $618 This hospital $592 Cash price $2,140 Hospital's list price $5,480

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $104 Priciest $592

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $618 (about 1.4× the $451 Medicare rate). Northeast Regional Medical Center charges insurers about $592, or about $2,140 in cash — about the fair price. Located in Kirksville, MO.

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	$473 - $4,230	105%
Blue Cross Blue Shieldmajor	$475 - $1,720	105%
Aetnamajor	$1,979 - $4,703	439%
Cignamajor	$1,809 - $2,205	401%
Devoted Health	$489	108%
HealthLink	$3,990 - $4,512	885%
+ 9 smaller / regional plans	$473 - $3,666

Government programs also on file: Medicare, Medicaid, Military & VA.

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 2,140), 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 Northeast Regional Medical Center 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 Northeast Regional Medical Center

Compare: Blood transfusion at other MO hospitals

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