CMS Price Transparency Data

Blood transfusion

Facility: Memorial Health Meadows Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $754
Cash Discount Price: $1,617
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Memorial Health Meadows Hospital is $754. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,617. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.67x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.

Cash / Self-Pay

$1,617

Average discount available for prompt cash payment at this facility.

Insurance Median

$754

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: $1,617 (359%)

Insurance Median: $754 (167%)

Cash: $1,617 (359% of Medicare)

Ins. Median: $754 (167% 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.

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	$191 - $2,187	42%
Ambetter / Centene	$220 - $242	49%
Friday Health	$231 - $2,028	51%
Peach State	$308 - $1,150	68%
Memorial Health Plan	$339 - $1,496	75%
United	$380 - $1,860	84%
Centurion	$426 - $7,512	95%
Cigna	$557 - $4,384	124%
Health One Alliance	$708 - $1,116	157%
Aetna	$815 - $16,800	181%
Prime Health	$1,099	244%
Employer'S Health Network	$1,122	249%
Multiplan	$1,386 - $1,525	308%
Pruitt Health	$2,550	566%

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 $1,617.
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 Health Meadows 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.