CMS Price Transparency Data

Blood transfusion

Facility: Beloit Health System

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $379
Cash Discount Price: $124
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Beloit Health System is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.84x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$379

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: $124 (28%)

Insurance Median: $379 (84%)

Cash: $124 (28% of Medicare)

Ins. Median: $379 (84% 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
Blue Cross Blue Shield	$69 - $838	15%
Quartz	$70 - $838	16%
Wea Trust	$79 - $709	18%
Wps	$106 - $954	24%
UnitedHealthcare	$108 - $966	24%
Multiplan	$115 - $1,031	26%
Aetna	$123 - $1,160	27%
Health Eos	$128 - $1,147	28%
Cigna	$132 - $1,185	29%
Hfn	$132 - $1,185	29%
Preferred Network Access	$132 - $1,185	29%
Cook Children'S Health Plan (Cchp)	$464	103%
Dean Health	$464 - $12,350	103%
Humana	$464 - $1,727	103%
Independent Care Health Plan	$464	103%
Managed Health Services	$464	103%
Molina Healthcare	$464	103%
Wellcare	$464	103%
Naphcare	$696	154%
The Alliance	$1,857	412%

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 $124.
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 Beloit Health System 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.