CMS Price Transparency Data

Blood transfusion

Facility: CHI St Alexius Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $717
Cash Discount Price: $505
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at CHI St Alexius Health is $717. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.59x the Medicare baseline. Located in 900 E Broadway, Bismarck, ND.

Cash / Self-Pay

$505

Average discount available for prompt cash payment at this facility.

Insurance Median

$717

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: $505 (112%)

Insurance Median: $717 (159%)

Cash: $505 (112% of Medicare)

Ins. Median: $717 (159% 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
United	$308 - $1,010	68%
Medica	$345 - $1,132	77%
Health Partners	$350 - $1,148	78%
Multiplan	$419 - $1,377	93%
Humana	$437	97%
Blue Cross Blue Shield	$446	99%
Great Plains	$459	102%
Sanford Health Plan	$756	168%

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 $505.
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 CHI St Alexius Health 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.