CMS Price Transparency Data

Blood transfusion

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$463

about 1.0× the $451 Medicare rate · typically $423–$1,636

modeled estimate · not a bill or quote

What this hospital charges insurers

$417

About the fair price

about $46 under the fair price · 0.9× Medicare

Medicare pays $451 Fair price $463 This hospital $417 Cash price $677 Hospital's list price $713

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $72 Priciest $417

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

A fair price for a Blood transfusion is about $463 (about 1.0× the $451 Medicare rate). Marshfield Medical Center - Beaver Dam (Mmc-Bd) charges insurers about $417, or about $677 in cash — about the fair price. Located in Beaver Dam, WI.

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	$417 - $534	93%
Blue Cross Blue Shieldmajor	$429 - $528	95%
Aetnamajor	$684	152%
Cignamajor	$485 - $528	108%
Humanamajor	$417 - $635	93%
HealthPartners	$677	150%
Molina	$417 - $606	93%
Quartz	$406 - $417	90%
Security Health Plan	$371 - $417	82%
+ 9 smaller / regional plans	$362 - $677

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 677), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Compare: Blood transfusion at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.