CMS Price Transparency Data
Blood transfusion
Facility: SSM Health St Agnes Hospital-Fond Du Lac
Billing Code: 36430 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$617
about 1.4× the $451 Medicare rate · typically $334–$1,191
modeled estimate · not a bill or quote
Medicare pays $451 Fair price $617 Cash price $623 Hospital's list price $1,132
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 | $436 - $3,335 | 97% |
| Molina | $327 | 73% |
| WellCare | $445 | 99% |
| + 3 smaller / regional plans | $842 - $2,334 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St Agnes Hospital-Fond Du Lac
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.