CMS Price Transparency Data

Blood transfusion

Facility: Stephens County Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$526
about 1.2× the $451 Medicare rate · typically $258–$1,506
modeled estimate · not a bill or quote
What this hospital charges insurers
$425
Below the fair price — a good deal
about $101 under the fair price · 0.9× Medicare
Medicare pays $451 Fair price $526 This hospital $425 Cash price $476 Hospital's list price $793

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 $425

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 $526 (about 1.2× the $451 Medicare rate). Stephens County Hospital charges insurers about $425, or about $476 in cash — below the fair price — a good deal. Located in Toccoa, GA.

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 $451 - $1,320 100%
Blue Cross Blue Shieldmajor $410 - $1,200 91%
Aetnamajor $435 - $1,275 97%
Cignamajor $461 - $1,350 102%
Amerigroup $165 - $482 37%
CareSource $425 94%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 163 Hospital Drive, Toccoa, GA 30577
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals