CMS Price Transparency Data

Blood transfusion

Facility: Christ Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $516
Cash Discount Price: $671
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Christ Hospital is $516. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $671. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.14x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$671

Average discount available for prompt cash payment at this facility.

Insurance Median

$516

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: $671 (149%)

Insurance Median: $516 (114%)

Cash: $671 (149% of Medicare)

Ins. Median: $516 (114% 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
Aetna	$280 - $1,119	62%
Humana	$280 - $1,119	62%
Kentucky Passport/Molina [2097]	$280	62%
Medicaid / KanCare	$280 - $1,119	62%
UnitedHealthcare	$280 - $1,119	62%
Wellcare Of Kentucky [2191]	$280	62%
Allied Benefits [2163]	$404	90%
Ambetter / Centene	$404	90%
Blue Cross Blue Shield	$404 - $1,341	90%
Buckeye Mycare Dual [2171]	$404	90%
Cigna	$404 - $1,119	90%
Custom Design Benefits - True Cost [3004]	$404	90%
First Health [2041]	$404	90%
Medben [2222]	$404	90%
Medicare (plans)	$404	90%
Medigold Ppo [2204]	$404	90%
Meridian [2185]	$404	90%
Meritain Health [2224]	$404	90%
Other Exchange Plan [9992]	$404 - $1,119	90%
Perennial [4200]	$404	90%
Poppins Health [2299]	$404	90%
Amerihealth Caritas [2230]	$483	107%
Ohio Health Choice [2062]	$537	119%
Nalc [2178]	$595	132%
Priority Health [2225]	$595	132%
Caresource [2031]	$671 - $1,119	149%
Life Synch [2080]	$671	149%
Multiplan/Phcs [2059]	$817	181%
Geha [2168]	$912	202%
Golden Rule [2161]	$912	202%
United Medical Resources [2104]	$912	202%
Bccp [3079]	$1,119	248%
Buckeye Community Health [2028]	$1,119	248%
Healthcare Highways [2298]	$1,119	248%
Sagamore Health Network [2066]	$1,119	248%
Suburban Health [2408]	$1,119	248%
Medical Mutual [2054]	$1,190	264%
Western And Southern [2076]	$1,190	264%

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 $671.
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 Christ 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.