CMS Price Transparency Data

Blood transfusion

Facility: Missouri Baptist Sullivan Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $707
Cash Discount Price: $646
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Missouri Baptist Sullivan Hospital is $707. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $646. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.57x the Medicare baseline. Located in 751 Sappington Bridge Rd, Sullivan, MO.

Cash / Self-Pay

$646

Average discount available for prompt cash payment at this facility.

Insurance Median

$707

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: $646 (143%)

Insurance Median: $707 (157%)

Cash: $646 (143% of Medicare)

Ins. Median: $707 (157% 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
Aetna	$237 - $807	53%
Essence Healthcare [221]	$237	53%
Humana	$239 - $716	53%
UnitedHealthcare	$241 - $799	53%
Cox Health [757]	$249	55%
Blue Cross Blue Shield	$251 - $936	56%
Medica [662]	$253	56%
Devoted Health Plan [847]	$260	58%
Healthlink [225]	$522 - $812	116%
Consociate [478]	$581	129%
Sarah Bush Lincoln [636]	$581	129%
Cox Health Systems Insurance Company [220]	$592 - $796	131%
Health Alliance [224]	$592	131%
Allied Benefits [498]	$624 - $799	138%
Hope Trust [806]	$624	138%
Coresource [497]	$649	144%
Fmh Benefit Service Inc [222]	$649	144%
Mail Handlers [495]	$649	144%
Cigna	$655 - $861	145%
Healthscope Benefits [258]	$699 - $727	155%
Med-Pay [480]	$699 - $807	155%
Unicare [568]	$699 - $812	155%
Apwu Health Plan [216]	$739	164%
Nalc Health Benefit Plan [242]	$739	164%
Priority Health [648]	$739	164%
First Health Commercial [734]	$799	177%
Beechstreet [551]	$807	179%
Detego Health [868]	$807	179%
Health Systems Inc [620]	$807	179%
Healthcare Sol Mercy [609]	$807	179%
Multiplan Commercial [737]	$807	179%
Multiplan [240]	$807	179%
Phcs [244]	$807 - $861	179%
Preferred Health Professionals [561]	$812	180%
Hfn [563]	$861	191%
Medica [661]	$861	191%

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 $646.
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 Missouri Baptist Sullivan Hospital 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.