CMS Price Transparency Data

Blood transfusion

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$449

about 1.0× the $451 Medicare rate · typically $166–$1,522

modeled estimate · not a bill or quote

What this hospital charges insurers

$451

About the fair price

about $2 over the fair price · 1.0× Medicare

Medicare pays $451 Fair price $449 This hospital $451 Cash price $1,236 Hospital's list price $2,060

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 $451

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 $449 (about 1.0× the $451 Medicare rate). University of Wi Hospitals & Clinics Authority charges insurers about $451, or about $1,236 in cash — about the fair price. Located in Madison, 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	$451 - $2,741	100%
Blue Cross Blue Shieldmajor	$412 - $3,068	91%
Aetnamajor	$451 - $2,745	100%
Cignamajor	$607 - $1,937	135%
Humanamajor	$451	100%
Dean Health Plan	$647 - $2,067	144%
Health Net	$809 - $2,583	179%
HealthPartners	$617 - $1,970	137%
Security Health Plan	$546 - $2,050	121%
+ 14 smaller / regional plans	$483 - $2,745

Government programs also on file: Medicare.

Excludes 3 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 1,236), 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 University of Wi Hospitals & Clinics Authority 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 University of Wi Hospitals & Clinics Authority

Compare: Blood transfusion at other WI hospitals

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