CMS Price Transparency Data

Blood transfusion

Facility: UPMC St Margaret

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$417
about 0.9× the $451 Medicare rate · typically $117–$561
modeled estimate · not a bill or quote
What this hospital charges insurers
$369
Below the fair price — a good deal
about $48 under the fair price · 0.8× Medicare
Medicare pays $451 Fair price $417 This hospital $369 Cash price $1,009 Hospital's list price $1,681

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $369

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $417 (about 0.9× the $451 Medicare rate). UPMC St Margaret charges insurers about $369, or about $1,009 in cash — below the fair price — a good deal. Located in Pittsburgh, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 7%
Blue Cross Blue Shieldmajor $41 - $1,013 9%
Aetnamajor $424 - $672 94%
Cignamajor $471 - $672 104%
Humanamajor $1,429 317%
AmeriHealth $43 10%
UPMC Health Plan $31 - $360 7%
+ 3 smaller / regional plans $47 - $1,345
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals