CMS Price Transparency Data

Blood transfusion

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $3,992
Cash Discount Price: $3,327
vs. Medicare Baseline: 8.86x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Jacobson Memorial Hospital Care Center is $3,992. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,327. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 8.86x the Medicare baseline. Located in 601 East St N, Elgin, ND.

Cash / Self-Pay

$3,327

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,992

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: $3,327 (738%)

Insurance Median: $3,992 (886%)

Cash: $3,327 (738% of Medicare)

Ins. Median: $3,992 (886% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 886% of the Medicare baseline (a markup of 786%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$2,661 - $4,436	590%
Medicaid / KanCare	$3,176	705%
Tricare	$3,327	738%
UnitedHealthcare	$3,380 - $4,436	750%
Medica	$3,548	787%
Tlc Advantage	$3,548	787%
Cigna	$3,992	886%
Healthpartners	$3,992	886%
Medicare (plans)	$3,992 - $5,323	886%
Multiplan Commercial	$3,992	886%
Blue Cross Blue Shield	$4,436 - $6,210	984%
Humana	$4,436	984%
Nextblue	$4,436	984%
Sanford Health Plan	$4,436	984%

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 $3,327.
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 Jacobson Memorial Hospital Care Center 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.