CMS Price Transparency Data

Blood transfusion

Facility: Marshfield Medical Center - Minocqua

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $341
Cash Discount Price: $346
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Marshfield Medical Center - Minocqua is $341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.76x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$341

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: $346 (77%)

Insurance Median: $341 (76%)

Cash: $346 (77% of Medicare)

Ins. Median: $341 (76% 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
Family Health Center (Fhc)	$182	40%
Security Health Plan (Shp)	$193 - $415	43%
Amish/Mennonite	$200	44%
Sanford Health Plan	$200	44%
The Alliance	$253 - $300	56%
Blue Cross Blue Shield	$277 - $428	61%
Group Health Cooperative Of Eau Claire	$298 - $440	66%
UnitedHealthcare	$300	67%
Besse Forest Products	$309	69%
Molina Healthcare Of Wi	$309	69%
Rice Lake School District	$309	69%
Wps Health Insurance	$322 - $353	71%
Medica Of Wi	$339 - $347	75%
Cigna	$342	76%
Healtheos By Multiplan Inc.	$342 - $346	76%
Corvel	$346	77%
First Health	$346	77%
Health Partners	$346	77%
Three Rivers Provider Network (Trpn)	$346	77%
Trilogy	$348 - $349	77%
Coventry	$349	77%
Health Smart	$349	77%
Rising Medical Work Comp	$353	78%
Veteran'S Administration (Va Ccn)	$415	92%
Point Comfort Underwriters	$457	101%

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 $346.
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 Marshfield Medical Center - Minocqua 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.