CMS Price Transparency Data

Blood transfusion

Facility: Madison St Joseph Health Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$435
about 1.0× the $451 Medicare rate · typically $33–$1,134
modeled estimate · not a bill or quote
What this hospital charges insurers
$677
Above the fair price
about $242 over the fair price · 1.5× Medicare
Medicare pays $451 Fair price $435 This hospital $677 Cash price $342 Hospital's list price $1,955

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $69 Priciest $677

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

A fair price for a Blood transfusion is about $435 (about 1.0× the $451 Medicare rate). Madison St Joseph Health Center charges insurers about $677, or about $342 in cash — above the fair price. Located in Madisonville, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $435. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $33 - $2,960 7%
Blue Cross Blue Shieldmajor $34 - $1,955 8%
Aetnamajor $254 - $1,290 56%
Cignamajor $1,251 - $2,888 278%
Humanamajor $1,193 265%
Ambetter (Centene) $369 82%
Bright Health $731 162%
+ 7 smaller / regional plans $32 - $1,075
Excludes 3 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: 100 West Cross Street, Madisonville, TX 77864
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals