CMS Price Transparency Data

Blood transfusion

Facility: St Mary Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$468
about 1.0× the $451 Medicare rate · typically $121–$723
modeled estimate · not a bill or quote
What this hospital charges insurers
$494
About the fair price
about $26 over the fair price · 1.1× Medicare
Medicare pays $451 Fair price $468 This hospital $494 Hospital's list price $579

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 $494

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 $468 (about 1.0× the $451 Medicare rate). St Mary Medical Center charges insurers about $494 — about the fair price. Located in Langhorne, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $280 - $1,958 62%
Blue Cross Blue Shieldmajor $464 - $1,286 103%
Aetnamajor $503 - $1,125 112%
Cignamajor $368 - $480 82%
Ambetter (Centene) $849 188%
AmeriHealth $464 103%
GEHA $294 65%
Oscar Health $856 190%
UPMC Health Plan $390 87%
+ 9 smaller / regional plans $67 - $1,070
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals