CMS Price Transparency Data

Blood transfusion

Facility: Bertrand Chaffee Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $47
Cash Discount Price: $47
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Bertrand Chaffee Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.10x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $47 (10%)

Insurance Median: $47 (10%)

Cash: $47 (10% of Medicare)

Ins. Median: $47 (10% 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
Comm Blue Essential	$8	2%
Community Blue	$8	2%
Community Care - Bc	$8	2%
Fidelis Care Of New York	$8	2%
Ghi Medical	$8	2%
Gowanda Correctional Fac	$8	2%
Medicaid / KanCare	$8	2%
Molina Essential Plan	$8	2%
Molina Heathcare Of Wny	$8	2%
Seneca Nation Health Dept	$8	2%
United Hc - Community Pln	$8	2%
United Hc Essential Plan	$8	2%
Univera Hc Myhealth	$8	2%
Univera Hc Myhealth+	$8	2%
Yourcare	$8	2%
Fidelis Essential Plans	$18	4%
Blue Cross Blue Shield	$43	10%
Private Pay	$47	10%
Univera Senior Choice	$48 - $243	11%
Aetna	$56	12%
American Progressive Ins.	$56	12%
Cigna	$56	12%
Commercial / Misc	$56	12%
Global Excel Mgt	$56	12%
Guardian Life Ins. Co.	$56	12%
Mvp Commercial	$56	12%
No Amer Meritian Health	$56	12%
No-Fault	$56	12%
Iha Essential Plans	$214 - $223	47%
Iha Medisource	$214 - $223	47%
Iha Encompass 65	$227	50%
Iha	$230	51%
Iha Custom Coverage	$230	51%
Univera Healthcare	$243	54%

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 $47.
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 Bertrand Chaffee 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.