CMS Price Transparency Data

Blood transfusion

Facility: Geisinger-Lewistown Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $826
Cash Discount Price: $1,054
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Geisinger-Lewistown Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,054. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.83x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$1,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $1,054 (234%)

Insurance Median: $826 (183%)

Cash: $1,054 (234% of Medicare)

Ins. Median: $826 (183% 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
Medicaid / KanCare	$28	6%
Geisinger Family Plan	$30	7%
Amerihealth	$31	7%
Health Partners	$33	7%
Upmc Health Plan	$33 - $11,890	7%
Upmc Chip	$35	8%
Blue Cross Blue Shield	$424 - $1,279	94%
Geisinger Health Plan	$424 - $1,987	94%
Medicare (plans)	$424	94%
Advantra	$428	95%
Humana	$428	95%
Aetna	$695 - $826	154%
Cigna	$735 - $894	163%
Christian Healthcare Ministries	$850	189%
Ambetter / Centene	$1,018	226%
Christian Health Aid	$1,360	302%
Three Rivers Provider Network Inc.	$1,360	302%
Multiplan	$1,445	321%
Healthsmart Payors Organization	$1,530	339%

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 $1,054.
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 Geisinger-Lewistown 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.