CMS Price Transparency Data
Blood transfusion
Facility: SSM Health St Mary's Hospital - Madison
Billing Code: 36430 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$555
about 1.2× the $451 Medicare rate · typically $166–$2,027
modeled estimate · not a bill or quote
Medicare pays $451 Fair price $555 Cash price $1,420 Hospital's list price $2,583
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $4,198 - $5,563 | 931% |
| Dean Health Plan | $429 | 95% |
| Molina | $321 | 71% |
| + 1 smaller / regional plan | $2,036 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St Mary's Hospital - Madison
Compare: Blood transfusion at other WI hospitals
- Grant Regional Health Center · Lancaster $72
- Unitypoint Health - Meriter · Madison $131
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $137
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $137
- Vernon Memorial Hospital · Viroqua $189
- Thedacare Medical Center - Berlin Inc · Berlin $275
- Ascension Ne Wisconsin - St Elizabeth Campus · Appleton $283
- Sauk Prairie Hospital · Prairie Du Sac $317
Insurance negotiated median for the same procedure, sorted lowest first.