CMS Price Transparency Data

Blood transfusion

Facility: Wood County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $574
Cash Discount Price: $700
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Wood County Hospital is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.27x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.

Cash / Self-Pay

$700

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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: $700 (155%)

Insurance Median: $574 (127%)

Cash: $700 (155% of Medicare)

Ins. Median: $574 (127% 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	$308 - $554	68%
Aetna	$376 - $574	83%
Buckeye	$376 - $640	83%
Caresource	$376 - $452	83%
Humana	$376 - $644	83%
Medicare (plans)	$376	83%
Mmo	$376 - $623	83%
Paramount	$376 - $560	83%
Perennial	$376	83%
Summacare	$376	83%
United_Healthcare	$376 - $623	83%
Medigold	$384	85%
Valor	$395	88%
Frontpath	$560	124%
Advanced_Medical_Pricing	$574	127%
Cigna	$574	127%
Medben	$574	127%
Occunet	$574	127%
Ohio_Health_Choice	$595 - $637	132%
Claimdoc	$609	135%
First_Health	$630	140%
Health_Ohio_Network	$630	140%
Healthscope_Benefits	$651	144%
Primary_Health_Services_Dca	$651	144%
Multiplan	$658	146%
Private_Healthcare_Systems	$658	146%
Three_Rivers_Provider_Network	$658	146%
Unicare	$658	146%
Beech_Street	$665	148%
Flora	$665	148%
Npn_Medical_Resources	$665	148%
Ohio_Preferred_Provider_Network	$665	148%
Ohio_Health_Group	$679	151%

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 $700.
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 Wood County 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.