CMS Price Transparency Data

Blood transfusion

Facility: Memorial Satilla Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,956
Cash Discount Price: $4,094
vs. Medicare Baseline: 4.34x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Memorial Satilla Health is $1,956. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,094. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.34x the Medicare baseline. Located in 1900 Tebeau Street, Waycross, GA.

Cash / Self-Pay

$4,094

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,956

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: $4,094 (908%)

Insurance Median: $1,956 (434%)

Cash: $4,094 (908% of Medicare)

Ins. Median: $1,956 (434% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 434% of the Medicare baseline (a markup of 334%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ambetter / Centene	$467	104%
Amerigroup	$549 - $2,365	122%
Friday Health	$614 - $2,028	136%
Peach State	$819 - $1,150	182%
Wellcare	$819 - $1,150	182%
Aetna	$883 - $3,633	196%
Cigna	$974 - $4,289	216%
Prime Health	$1,099	244%
Health One Alliance	$1,116 - $1,883	248%
Employer'S Health Network	$1,122	249%
Centurion	$1,133 - $7,512	251%
United	$1,228 - $1,842	272%
Value Option	$2,047	454%
Nhc Advantage	$2,550	566%
Pruitt Health	$2,550	566%
Multiplan	$2,755	611%
Novanet	$3,684	817%
Blue Cross Blue Shield	$5,947 - $7,234	1319%

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 $4,094.
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 Memorial Satilla 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.