CMS Price Transparency Data

Blood transfusion

Facility: Nicholas H Noyes Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $36
Cash Discount Price: $646
vs. Medicare Baseline: 0.08x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Nicholas H Noyes Memorial Hospital is $36. 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 0.08x the Medicare baseline. Located in 111 Clara Barton Street, Dansville, NY.

Cash / Self-Pay

$646

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $36 (8%)

Cash: $646 (143% of Medicare)

Ins. Median: $36 (8% 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
Blue Cross Blue Shield	$8 - $961	2%
Fidelis 5155	$8 - $54	2%
Medicaid / KanCare	$8 - $42	2%
Molina Healthcare 1723	$8 - $18	2%
UnitedHealthcare	$8 - $1,083	2%
Medicare (plans)	$29 - $771	6%
Mvp 2900	$29 - $1,268	6%
Aetna	$34 - $551	8%
Excellus 2201	$34 - $40	8%
Cigna	$41 - $1,310	9%
Independent Health 5156	$51 - $60	11%
Capital District Physicians Health Plan (Cdphp) 5149	$95	21%
Humana	$551	122%
Empire Plan 5179	$886	197%
Pomco Ins Co 5157	$1,174	260%

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 Nicholas H Noyes Memorial 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.