CMS Price Transparency Data

Blood transfusion

Facility: Childrens Hospital of Wisconsin

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$752

about 1.7× the $451 Medicare rate · typically $95–$2,237

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $752 Cash price $563 Hospital's list price $1,024

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.

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	$271 - $3,990	60%
Blue Cross Blue Shieldmajor	$288 - $6,159	64%
Aetnamajor	$324 - $1,594	72%
Cignamajor	$332 - $1,510	74%
Dean Health Plan	$295 - $1,343	65%
Health Net	$313 - $1,510	69%
HealthPartners	$288 - $1,477	64%
Quartz	$313 - $1,427	69%
Security Health Plan	$306 - $1,393	68%
+ 17 smaller / regional plans	$258 - $1,510

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 563), 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 Childrens Hospital of Wisconsin 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 Childrens Hospital of Wisconsin

Compare: Blood transfusion at other WI hospitals

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