CMS Price Transparency Data

Blood transfusion

Facility: St Marys Hospital Superior

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$521

about 1.2× the $451 Medicare rate · typically $159–$757

modeled estimate · not a bill or quote

What this hospital charges insurers

$428

Below the fair price — a good deal

about $93 under the fair price · 0.9× Medicare

Medicare pays $451 Fair price $521 This hospital $428 Cash price $840 Hospital's list price $1,136

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 $428

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 $521 (about 1.2× the $451 Medicare rate). St Marys Hospital Superior charges insurers about $428, or about $840 in cash — below the fair price — a good deal. Located in Superior, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$364 - $1,028	81%
Blue Cross Blue Shieldmajor	$364 - $912	81%
Aetnamajor	$966	214%
Cignamajor	$886 - $905	197%
HealthPartners	$364 - $905	81%
Medica	$364 - $913	81%
Sanford Health Plan	$487 - $513	108%
Security Health Plan	$364 - $875	81%
UCare	$364 - $747	81%
+ 13 smaller / regional plans	$364 - $977

Government programs also on file: Medicare.

Excludes 2 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 840), 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 St Marys Hospital Superior 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 St Marys Hospital Superior

Compare: Blood transfusion at other WI hospitals

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