CMS Price Transparency Data

Blood transfusion

Facility: Porter Hospital Inc

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$286
about 0.6× the $451 Medicare rate · typically $34–$1,076
modeled estimate · not a bill or quote
What this hospital charges insurers
$415
Above the fair price
about $129 over the fair price · 0.9× Medicare
Medicare pays $451 Fair price $286 This hospital $415 Cash price $608 Hospital's list price $608

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

A typical price — 2 charge more and 2 charge less, among the 5 VT hospitals compared.

Cheapest $86 Priciest $721

Black dot = this hospital, among the 5 VT hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $286 (about 0.6× the $451 Medicare rate). Porter Hospital Inc charges insurers about $415, or about $608 in cash — above the fair price. Located in Middlebury, VT.

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 $286. 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 $286 - $602 63%
Blue Cross Blue Shieldmajor $292 - $530 65%
Aetnamajor $286 - $535 63%
Cignamajor $553 123%
Humanamajor $415 92%
Fidelis Care $257 57%
Harvard Pilgrim $486 108%
MVP Health Care $286 - $567 63%
+ 3 smaller / regional plans $286 - $578
Government programs also on file: Military & VA.
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: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals