CMS Price Transparency Data

Blood transfusion

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$525

about 1.2× the $451 Medicare rate · typically $70–$1,615

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $525 Cash price $644 Hospital's list price $1,255

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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	$402 - $1,341	89%
Aetnamajor	$831 - $1,578	184%
Humanamajor	$744 - $1,412	165%
Amerigroup	$187	41%
Dean Health Plan	$696 - $1,321	154%
HealthPartners	$402 - $1,467	89%
Quartz	$477 - $905	106%
Security Health Plan	$402 - $764	89%
UCare	$402 - $1,329	89%
+ 4 smaller / regional plans	$675 - $1,379

Excludes 1 rental-network / third-party entry (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 644), 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 Gundersen Moundview Hospital and Clinics 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 Gundersen Moundview Hospital and Clinics

Compare: Blood transfusion at other WI hospitals

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