CMS Price Transparency Data

Blood transfusion

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$518

about 1.1× the $451 Medicare rate · typically $351–$1,605

modeled estimate · not a bill or quote

What this hospital charges insurers

$444

Below the fair price — a good deal

about $74 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $518 This hospital $444 Cash price $666 Hospital's list price $1,211

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 $444

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 $518 (about 1.1× the $451 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $444, or about $666 in cash — below the fair price — a good deal. Located in Milwaukee, 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	$392 - $573	87%
Blue Cross Blue Shieldmajor	$444 - $4,258	99%
Aetnamajor	$453 - $1,091	101%
Cignamajor	$945 - $1,310	210%
Humanamajor	$444	99%
Dean Health Plan	$969 - $1,343	215%
Health Net	$438	97%
HealthPartners	$444 - $1,041	99%
Molina	$444	99%
Priority Health	$444	99%
Quartz	$444	99%
Security Health Plan	$444 - $1,320	99%
WellCare	$453	101%
+ 15 smaller / regional plans	$337 - $1,427

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 666), 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 Froedtert Memorial Lutheran Hospital 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 Froedtert Memorial Lutheran Hospital

Compare: Blood transfusion at other WI hospitals

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