CMS Price Transparency Data

Blood transfusion

Facility: Geisinger Jersey Shore Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $519
Cash Discount Price: $1,054
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Geisinger Jersey Shore Hospital is $519. 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 1.15x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$1,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$519

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: $519 (115%)

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

Ins. Median: $519 (115% 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%
Amerihealth	$31	7%
Geisinger Family Plan	$31	7%
Health Partners	$33	7%
Upmc For You	$33	7%
Upmc Chip	$35	8%
Advantra	$175	39%
Aetna	$175 - $1,300	39%
American Progressive	$175	39%
Medicare (plans)	$175	39%
Blue Cross Blue Shield	$177 - $1,008	39%
Humana	$177	39%
Geisinger Health Plan	$340 - $835	75%
Ambetter / Centene	$420	93%
Prison Health Services	$519	115%
Cigna	$816	181%
Christian Healthcare Ministries	$850	189%
Medical Development International	$1,190	264%
Integrated Health Plan	$1,275	283%
Prime Health Services	$1,275	283%
Multiplan	$1,360	302%

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 Jersey Shore 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.