CMS Price Transparency Data

Blood transfusion

Facility: UPMC Bedford Memorial

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$430
about 1.0× the $451 Medicare rate · typically $134–$556
modeled estimate · not a bill or quote
What this hospital charges insurers
$290
Below the fair price — a good deal
about $140 under the fair price · 0.6× Medicare
Medicare pays $451 Fair price $430 This hospital $290 Cash price $416 Hospital's list price $694

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 $290

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 $430 (about 1.0× the $451 Medicare rate). UPMC Bedford Memorial charges insurers about $290, or about $416 in cash — below the fair price — a good deal. Located in Everett, 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 $29 - $465 6%
Blue Cross Blue Shieldmajor $41 - $450 9%
Aetnamajor $35 - $465 8%
Cignamajor $278 - $465 62%
Humanamajor $625 139%
AmeriHealth $43 - $450 10%
Geisinger $39 9%
HealthPartners $42 9%
UPMC Health Plan $31 - $430 7%
+ 5 smaller / regional plans $47 - $625
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals