CMS Price Transparency Data

Blood transfusion

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $649
Cash Discount Price: $649
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Marshfield Medical Center - Rice Lake is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $649. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.44x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$649

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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: $649 (144%)

Insurance Median: $649 (144%)

Cash: $649 (144% of Medicare)

Ins. Median: $649 (144% 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
Family Health Center (Fhc)	$342	76%
Security Health Plan (Shp)	$365 - $500	81%
Amish/Mennonite	$376	83%
Sanford Health Plan	$376	83%
Veteran'S Administration (Va Ccn)	$415	92%
Blue Cross Blue Shield	$428 - $615	95%
Group Health Cooperative Of Eau Claire	$440 - $656	98%
Point Comfort Underwriters	$457	101%
The Alliance	$482 - $649	107%
UnitedHealthcare	$563	125%
Molina Healthcare Of Wi	$581	129%
Besse Forest Products	$649	144%
Cigna	$649	144%
Corvel	$649	144%
First Health	$649	144%
Health Partners	$649	144%
Healtheos By Multiplan Inc.	$649	144%
Rice Lake School District	$649	144%
Medica Of Wi	$652 - $665	145%
Trilogy	$652 - $656	145%
Coventry	$656	146%
Health Smart	$656	146%
Rising Medical Work Comp	$663	147%
Wps Health Insurance	$666	148%
Three Rivers Provider Network (Trpn)	$669	148%

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 $649.
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 Marshfield Medical Center - Rice Lake 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.