CMS Price Transparency Data

Blood transfusion

Facility: Mount Carmel St Ann's

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$548

about 1.2× the $451 Medicare rate · typically $194–$2,148

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,183

Well above the fair price

about $635 over the fair price · 2.6× Medicare

Medicare pays $451 Fair price $548 This hospital $1,183 Cash price $1,918 Hospital's list price $1,962

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $1,183

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $548 (about 1.2× the $451 Medicare rate). Mount Carmel St Ann's charges insurers about $1,183, or about $1,918 in cash — well above the fair price. Located in Westerville, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $548. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$425 - $1,059	94%
Blue Cross Blue Shieldmajor	$417 - $1,962	93%
Aetnamajor	$417 - $2,220	93%
Cignamajor	$1,100	244%
Humanamajor	$1,003 - $1,962	223%
AmeriHealth	$916	203%
CareSource	$1,432	318%
GEHA	$881 - $993	195%
HealthLink	$1,472	327%
HealthPartners	$1,100	244%
MagnaCare	$916	203%
Medical Mutual	$1,045 - $1,556	232%
MVP Health Care	$1,100	244%
Oscar Health	$702	156%
Paramount	$1,034	229%
Priority Health	$1,100	244%
Sentara	$1,962	435%
UniCare	$916	203%
+ 90 smaller / regional plans	$425 - $1,668

Government programs also on file: Medicare, Medicaid.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,918), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Mount Carmel St Ann's is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mount Carmel St Ann's

Compare: Blood transfusion at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.