CMS Price Transparency Data

Blood transfusion

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$747

about 1.7× the $451 Medicare rate · typically $338–$2,055

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $747 Cash price $1,574 Hospital's list price $1,574

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.

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	$1,343 - $1,580	298%
Blue Cross Blue Shieldmajor	$453 - $4,221	101%
Aetnamajor	$457 - $2,987	101%
Cignamajor	$462 - $3,590	103%
Humanamajor	$4,840	1074%
Kaiser Permanentemajor	$3,051	677%
Ambetter (Centene)	$950	211%
Clover Health	$471	104%
Devoted Health	$448	99%
Oscar Health	$2,572	571%
WellCare	$475	105%

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 1,574), 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 Saint Joseph's Hospital of Atlanta, Inc 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 Saint Joseph's Hospital of Atlanta, Inc

Compare: Blood transfusion at other GA hospitals

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