CMS Price Transparency Data
Blood transfusion
Facility: St Peter's Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $602
- Cash Discount Price: $6,026
- vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at St Peter's Hospital is $602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,026. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.34x the Medicare baseline. Located in 315 South Manning Boulevard, Albany, NY.
Cash / Self-Pay
$6,026
Average discount available for prompt cash payment at this facility.
Insurance Median
$602
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: $6,026 (1337%)
Insurance Median: $602 (134%)
Cash: $6,026 (1337% of Medicare)
Ins. Median: $602 (134% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Albany County Correctional Facility | $8 | 2% |
| Medicaid / KanCare | $8 - $2,584 | 2% |
| Nascentia Health Options | $8 | 2% |
| Blue Cross Blue Shield | $9 - $5,609 | 2% |
| UnitedHealthcare | $11 - $12,754 | 2% |
| Healthbridge Financial | $52 | 12% |
| Iha Idaho Self Pay Informational | $52 | 12% |
| Iha Indiana Self Pay Informational | $52 | 12% |
| Iha Iowa Self Pay Informational | $52 | 12% |
| Rx Aquinata Marywood | $52 | 12% |
| Rx Cmh Discharge | $52 | 12% |
| Rx Detroit Formulary | $52 | 12% |
| Rx First Fill Program | $52 | 12% |
| Rx Harbor Homecare | $52 | 12% |
| Rx Lipc/Mchp | $52 | 12% |
| Rx Lipc/Mchp Copay | $52 | 12% |
| Rx Mcauley Clinic | $52 | 12% |
| Rx Net Rx | $52 | 12% |
| Rx Ny Naloxone Copay | $52 | 12% |
| Rx Patient Support Program | $52 | 12% |
| Carelon Behavioral Health | $55 - $360 | 12% |
| 1199 National Benefit Fund | $336 | 75% |
| Aetna | $336 - $2,580 | 75% |
| Allied Benefit Systems | $336 | 75% |
| Asr Health Benefits | $336 | 75% |
| Christian Brother Services | $336 | 75% |
| Geha | $336 | 75% |
| Lucent Health | $336 | 75% |
| Luminare Health | $336 | 75% |
| Medical Mutual | $336 | 75% |
| Meritain | $336 | 75% |
| Trustmark Small Business Benefits | $336 | 75% |
| Emblem Health | $360 - $9,706 | 80% |
| Nova | $360 - $9,706 | 80% |
| Galaxy Health Network | $384 | 85% |
| Health Republic | $408 | 91% |
| Independent Health | $408 | 91% |
| Magnacare | $408 | 91% |
| Health New England | $432 | 96% |
| Multiplan | $432 | 96% |
| Phcs | $432 | 96% |
| Medicare (plans) | $480 - $2,723 | 106% |
| Eddy Seniorcare Pace | $551 - $2,438 | 122% |
| Secure Horizons Ma Pffs | $561 - $2,484 | 124% |
| Hudson Headwaters Pace | $595 - $2,633 | 132% |
| Nascentia Health Plus | $617 - $2,730 | 137% |
| Blue Shield - Ny Highmark Northeastern | $744 - $957 | 165% |
| Blue Shield - Ca | $929 - $957 | 206% |
| Blue Shield - Id (Regence) | $929 - $957 | 206% |
| Blue Shield - Ny Highmark Western | $929 - $957 | 206% |
| Blue Shield - Pa (Highmark) | $929 - $957 | 206% |
| Blue Shield - Wa (Regence) | $929 - $957 | 206% |
| Capital District Physicians Health Plan | $941 - $5,787 | 209% |
| Fidelis Care | $991 - $4,388 | 220% |
| Mvp | $1,056 - $4,520 | 234% |
| Wellpath | $1,239 - $5,484 | 275% |
| Bcn Domestic | $1,267 - $5,609 | 281% |
| Blue Care Network | $1,267 - $5,609 | 281% |
| Unicare | $1,267 - $5,609 | 281% |
| Allegiance | $1,873 - $5,286 | 416% |
| American Postal Workers Secondary | $1,873 - $5,286 | 416% |
| Cigna | $1,873 - $5,286 | 416% |
| Diversified Administrators | $1,873 - $5,286 | 416% |
| Health Partners | $1,873 - $5,286 | 416% |
| Priority Health | $1,873 - $5,286 | 416% |
| Tufts Health Plan | $1,873 - $5,286 | 416% |
| Webtpa | $1,873 - $5,286 | 416% |
| Harvard Pilgrim Healthcare | $12,754 | 2830% |