CMS Price Transparency Data

Blood transfusion

Facility: Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $541
Cash Discount Price: $911
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Memorial Hospital is $541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $911. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.20x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$911

Average discount available for prompt cash payment at this facility.

Insurance Median

$541

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: $911 (202%)

Insurance Median: $541 (120%)

Cash: $911 (202% of Medicare)

Ins. Median: $541 (120% 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
Buckeye Community Health Plan	$27 - $1,525	6%
Caresource	$27 - $1,525	6%
Health Ohio Network	$27 - $1,068	6%
Molina Healthcare Of Ohio	$27 - $1,654	6%
UnitedHealthcare	$27 - $1,525	6%
Health Alliance Plan	$28 - $1,525	6%
Aetna	$36 - $1,966	8%
Summacare	$36 - $1,179	8%
Blue Cross Blue Shield	$42 - $2,139	9%
Paramount Healthcare Inc	$42 - $1,254	9%
Frontpath	$43 - $856	10%
Humana	$43 - $991	10%
Cigna	$49 - $976	11%
Medical Mutual Of Ohio	$138 - $936	31%
Multiplan	$138 - $1,261	31%
Meridian Health Plan Of Mi	$242 - $991	54%
Amerihealth	$536 - $2,065	119%

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 $911.
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 Memorial 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.