CMS Price Transparency Data

Blood transfusion

Facility: University Hospitals Portage Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $849
Cash Discount Price: $1,166
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at University Hospitals Portage Medical Center is $849. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,166. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.88x the Medicare baseline. Located in 6847 N Chestnut, Ravenna, OH.

Cash / Self-Pay

$1,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$849

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: $1,166 (259%)

Insurance Median: $849 (188%)

Cash: $1,166 (259% of Medicare)

Ins. Median: $849 (188% 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	$373 - $852	83%
Aetna	$405 - $2,547	90%
Blue Cross Blue Shield	$405 - $1,485	90%
Cigna	$405 - $1,370	90%
Devoted Health	$405	90%
Humana	$405	90%
Molina	$405	90%
Primetime Health Plan	$405	90%
Summacare	$405	90%
The Health Plan	$405 - $1,026	90%
UnitedHealthcare	$405 - $1,059	90%
Wellcare By Allwell	$405	90%
Paramount	$417	93%
Perennial Advantage Of Ohio	$426	95%
Valor Health Plans	$426	95%
Amish Aid Community Plan	$715	159%
Amish Church Fund And Workers Aid Plan	$715	159%
Buckeye Plain Ministries	$715	159%
Ambetter / Centene	$730	162%
Caresource	$730	162%
Clarity	$746	166%
Jp Farley	$746	166%
Christian Healthcare Ministries	$778	173%
Immergrun	$778	173%
Sunrise Plain Communities	$778	173%
Aultcare	$855	190%
Healthsmart	$1,011	224%
Ohio Health Choice	$1,011 - $1,400	224%
Medical Mutual Traditional/Health Ohio	$1,088	241%
Beech Street	$1,244 - $1,400	276%
Ohio Preferred Network	$1,244 - $1,400	276%
First Health	$1,291	286%
Century Health Network	$1,322	293%
Private Healthcare System	$1,337	297%
Configurenet	$1,400	311%
Fortified Provider Network	$1,400	311%
Multiplan	$1,400	311%

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 $1,166.
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 Portage 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.