CMS Price Transparency Data

Blood transfusion

Facility: University Hospitals Samaritan Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $767
Cash Discount Price: $685
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at University Hospitals Samaritan Medical Center is $767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $685. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.70x the Medicare baseline. Located in 1025 Center St, Ashland, OH.

Cash / Self-Pay

$685

Average discount available for prompt cash payment at this facility.

Insurance Median

$767

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: $685 (152%)

Insurance Median: $767 (170%)

Cash: $685 (152% of Medicare)

Ins. Median: $767 (170% 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
Medical Mutual Of Ohio	$323 - $905	72%
University Health Employee Plan (Contigo)	$365	81%
Aetna	$375 - $783	83%
Blue Cross Blue Shield	$375 - $824	83%
Cigna	$375 - $842	83%
Devoted Health	$375	83%
Humana	$375	83%
Molina	$375	83%
Primetime Health Plan	$375	83%
Summacare	$375 - $831	83%
The Health Plan	$375 - $803	83%
UnitedHealthcare	$375 - $842	83%
Wellcare By Allwell	$375	83%
Paramount	$387	86%
Perennial Advantage Of Ohio	$394	87%
Valor Health Plans	$394	87%
Amish Aid Community Plan	$420	93%
Amish Church Fund And Workers Aid Plan	$420	93%
Buckeye Plain Ministries	$420	93%
Christian Healthcare Ministries	$456	101%
Immergrun	$456	101%
Sunrise Plain Communities	$456	101%
Medical Mutual Traditional/Health Ohio	$639	142%
Ambetter / Centene	$676	150%
Caresource	$676	150%
Beech Street	$730 - $822	162%
Ohio Preferred Network	$730 - $822	162%
First Health	$758	168%
Century Health Network	$776	172%
Ohio Health Choice	$776 - $822	172%
Private Healthcare System	$785	174%
Aultcare	$822	182%
Clarity	$822	182%
Configurenet	$822	182%
Fortified Provider Network	$822	182%
Healthsmart	$822	182%
Jp Farley	$822	182%
Multiplan	$822	182%

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 $685.
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 University Hospitals Samaritan 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.