CMS Price Transparency Data

Blood transfusion

Facility: Memorial Hospital and Manor

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$486

about 1.1× the $451 Medicare rate · typically $271–$774

modeled estimate · not a bill or quote

What this hospital charges insurers

$406

Below the fair price — a good deal

about $80 under the fair price · 0.9× Medicare

Medicare pays $451 Fair price $486 This hospital $406 Cash price $509 Hospital's list price $728

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 $406

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 $486 (about 1.1× the $451 Medicare rate). Memorial Hospital and Manor charges insurers about $406, or about $509 in cash — below the fair price — a good deal. Located in Bainbridge, GA.

What each insurance company pays

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

5 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	$533 - $616	118%
Blue Cross Blue Shieldmajor	$521 - $602	116%
Aetnamajor	$363 - $702	81%
Cignamajor	$560 - $647	124%
Humanamajor	$363 - $624	81%
Ambetter (Centene)	$472	105%
Amerigroup	$425 - $491	94%
CareSource	$446 - $516	99%
WellCare	$363	81%
+ 3 smaller / regional plans	$450 - $624

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

Excludes 3 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 509), 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 Memorial Hospital and Manor 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 Memorial Hospital and Manor

Compare: Blood transfusion at other GA hospitals

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