CMS Price Transparency Data

Blood transfusion

Facility: Fairview Park Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,150
Cash Discount Price: $2,153
vs. Medicare Baseline: 2.55x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Fairview Park Hospital is $1,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,153. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.55x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$2,153

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,150

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: $2,153 (478%)

Insurance Median: $1,150 (255%)

Cash: $2,153 (478% of Medicare)

Ins. Median: $1,150 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Amerigroup	$288 - $2,365	64%
Ambetter / Centene	$314	70%
Friday Health	$323 - $2,028	72%
Peach State	$431 - $1,150	96%
Wellcare	$431 - $1,150	96%
Memorial Health Plan	$474 - $1,496	105%
United	$532 - $1,637	118%
Aetna	$557 - $3,633	124%
Cigna	$586 - $4,299	130%
Centurion	$596 - $7,512	132%
Americas 1St Choice	$603 - $2,205	134%
Leavitt Risk Partners	$646	143%
Health One Alliance	$990 - $1,116	220%
Dodge County Hospital	$1,076	239%
Prime Health	$1,099	244%
Employer'S Health Network	$1,122	249%
Rockport United Network	$1,122	249%
Identity Mco	$1,145	254%
Synergy Health Network	$1,145	254%
American Steel Products	$1,830	406%
City Of Eastman	$1,830	406%
Dodge Co Board Of Commissioners	$1,830	406%
Graham Brothers Construction	$1,830	406%
Multiplan	$1,938	430%
Novanet	$1,938	430%
Nhc Advantage	$2,550	566%
Pruitt Health	$2,550	566%
Blue Cross Blue Shield	$5,989 - $7,284	1329%
Core Resources	$7,027	1559%

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 $2,153.
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 Fairview Park Hospital 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.