CMS Price Transparency Data

Blood transfusion

Facility: Cheshire Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $743
Cash Discount Price: $491
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Cheshire Medical Center is $743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.65x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$491

Average discount available for prompt cash payment at this facility.

Insurance Median

$743

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: $491 (109%)

Insurance Median: $743 (165%)

Cash: $491 (109% of Medicare)

Ins. Median: $743 (165% 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
Amerihealth Caritas Nh	$19 - $298	4%
Granite State Health Plan	$19 - $406	4%
Wellsense Health Plan	$19 - $489	4%
Ambetter / Centene	$37 - $406	8%
Blue Cross Blue Shield	$37 - $1,934	8%
Cigna	$37 - $2,689	8%
Martin'S Point Generations Advantage	$37 - $457	8%
Mvp	$37 - $2,689	8%
UnitedHealthcare	$37 - $1,847	8%
Wellcare Health Plans	$37 - $457	8%
Martin'S Point Health Care	$39 - $457	9%
Aetna	$44 - $1,750	10%
Tufts Health Plan	$67 - $1,554	15%
Harvard Pilgrim Health Care Of Ne	$239 - $1,107	53%
Mass General Brigham Health Plan	$333 - $2,434	74%
Maine Community Health Options	$506 - $1,095	112%
First Health/Hcvm	$955 - $2,069	212%
Phcs	$1,012 - $2,191	225%

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 $491.
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 Cheshire Medical 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.