CMS Price Transparency Data

Blood transfusion

Facility: Union Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $417
  • Cash Discount Price: $1,452
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Union Hospital is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,452. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.93x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$1,452

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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: $1,452 (322%)
Insurance Median: $417 (93%)
Cash: $1,452 (322% of Medicare)
Ins. Median: $417 (93% 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.

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
Summacare $25 - $1,043 6%
Buckeye $29 - $397 6%
Molina $29 - $417 6%
Caresource $30 - $397 7%
United $31 - $1,104 7%
Amerihealth $32 - $437 7%
Aetna $38 - $2,234 8%
Blue Cross Blue Shield $38 - $1,190 8%
Cigna $38 - $1,005 8%
Humana $38 - $404 8%
The Health Plan $38 - $1,921 8%
Valor $38 - $404 8%
Mmo $39 - $1,452 9%
Aultcare $40 - $1,005 9%
Communicare $40 - $424 9%
Perennial Health $41 - $436 9%
Pphp $41 - $444 9%
Zing Health $42 - $444 9%
Cc Ehp $43 - $1,667 10%
Oscar $261 - $859 58%
UnitedHealthcare $375 - $404 83%
Ohcp $381 - $1,086 85%
Devoted Health $404 90%
Upmc $404 - $1,340 90%
Omas $490 - $1,117 109%
Healthsmart $538 - $1,229 119%
Phphi $587 - $1,340 130%
Gms $685 - $1,564 152%
Consociate Health $734 - $1,676 163%
Multiplan $881 - $2,011 195%
Amish Community Aid Plan $1,005 - $1,117 223%
Ohio Healthy $1,206 268%
Php $1,340 297%
Medical Benefit Corp $1,564 347%
Frontpath $2,011 446%
Managed Care Services $2,011 446%
Tertiary Care Network $2,011 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals