CMS Price Transparency Data
Blood transfusion
Facility: Wooster Community Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $637
- Cash Discount Price: $746
- vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Wooster Community Hospital is $637. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $746. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.41x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$746
Average discount available for prompt cash payment at this facility.
Insurance Median
$637
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: $746 (166%)
Insurance Median: $637 (141%)
Cash: $746 (166% of Medicare)
Ins. Median: $637 (141% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aultcare/Primecare Mcr Adv | $343 - $386 | 76% |
| Buckeye Mcaid-All Other Plans | $397 | 88% |
| Caresource Mcaid | $397 | 88% |
| UnitedHealthcare | $397 - $749 | 88% |
| Molina Mcaid | $405 | 90% |
| Blue Cross Blue Shield | $409 - $725 | 91% |
| Aetna | $417 - $788 | 93% |
| Amerihealth Mcaid-All Plans | $417 | 93% |
| Tricare | $418 | 93% |
| Buckeye Mcare | $426 | 95% |
| Caresource Mcr Adv | $426 | 95% |
| Humana | $426 - $741 | 95% |
| Med Mutual Of Oh Mcr | $426 | 95% |
| Molina Mcr | $426 | 95% |
| Summacare Mcr | $426 | 95% |
| The Health Plan Mcr Adv | $426 | 95% |
| Valor Hp Mcr-All Plans | $426 | 95% |
| Cerco-All Plans | $489 - $552 | 108% |
| Aultcare Wayne County | $524 - $591 | 116% |
| Aultcare/Primetime Exch | $524 - $591 | 116% |
| Rayco-All Plans | $524 - $591 | 116% |
| Magnipower-All Plans | $554 | 123% |
| Christian Health Ministries-All Plans | $559 - $631 | 124% |
| Cigna | $559 - $631 | 124% |
| Health Ohio Network Employer | $559 - $631 | 124% |
| Wayne County-All Plans | $559 - $631 | 124% |
| Healthsmart Accel | $580 - $654 | 129% |
| Summacare Preferred Choice | $580 - $654 | 129% |
| Health Ohio Network Ppo-All Other Plans | $594 - $670 | 132% |
| Healthsmart Complete Ppo-All Other Plans | $594 - $670 | 132% |
| Ohio Health Choice Supp | $594 - $670 | 132% |
| Ohio Health Group Hlthy - All Other Plans | $594 - $670 | 132% |
| Med Mutual Of Oh Exchange | $601 - $678 | 133% |
| Med Mutual Of Oh Supermed | $601 - $678 | 133% |
| Med Mutual Of Oh Trad-All Other Plans | $601 - $678 | 133% |
| Caresource Exch - All Other Plans | $610 | 135% |
| Health Plan Of Upper Ohio-All Plans | $616 - $694 | 137% |
| The Health Plan Comm - All Other Plans | $616 - $694 | 137% |
| Ohio Health Group Pref | $622 - $702 | 138% |
| Aultcare/Primetime-All Other Plans | $629 - $709 | 140% |
| Healthsmart Ppo | $636 - $717 | 141% |
| Summacare-All Other Plans | $650 - $733 | 144% |
| Ohio Health Choice-All Other Plans | $657 - $741 | 146% |
| Healthsmart Hpo | $664 - $749 | 147% |
| Osu-All Plans | $664 - $749 | 147% |
| Central Benefits-All Plans | $671 - $757 | 149% |
| First Health-All Plans | $671 - $757 | 149% |
| Flora-All Plans | $671 - $757 | 149% |
| Beech Street-All Plans | $678 - $765 | 150% |
| Phcs-All Plans | $678 - $765 | 150% |
| Molina Marketplace - All Other Plans | $725 | 161% |
| Clarity Health - All Plans | $831 | 184% |