CMS Price Transparency Data

Blood transfusion

Facility: Northside Hospital Cherokee

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$897

about 2.0× the $451 Medicare rate · typically $158–$2,862

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,440

Well above the fair price

about $1,543 over the fair price · 5.4× Medicare

Medicare pays $451 Fair price $897 This hospital $2,440 Cash price $1,998 Hospital's list price $2,664

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $70 Priciest $2,440

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $897 (about 2.0× the $451 Medicare rate). Northside Hospital Cherokee charges insurers about $2,440, or about $1,998 in cash — well above the fair price. Located in Canton, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $897. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$441 - $3,609	98%
Blue Cross Blue Shieldmajor	$441 - $34,850	98%
Aetnamajor	$450 - $30,000	100%
Cignamajor	$399 - $7,491	89%
Humanamajor	$445 - $3,754	99%
Kaiser Permanentemajor	$454 - $3,717	101%
Ambetter (Centene)	$298 - $9,594	66%
Amerigroup	$298 - $7,419	66%
CareSource	$307 - $18,600	68%
Clover Health	$463 - $3,790	103%
Health Net	$1,652 - $6,303	367%
Oscar Health	$1,252 - $3,487	278%
WellCare	$454 - $3,717	101%
+ 25 smaller / regional plans	$35 - $50,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 9 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 1,998), 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 Northside Hospital Cherokee 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 Northside Hospital Cherokee

Compare: Blood transfusion at other GA hospitals

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