CMS Price Transparency Data

Blood transfusion

Facility: Southern Regional Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$669

about 1.5× the $451 Medicare rate · typically $252–$1,901

modeled estimate · not a bill or quote

What this hospital charges insurers

$454

Below the fair price — a good deal

about $215 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $669 This hospital $454 Cash price $440 Hospital's list price $2,150

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 $454

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 $669 (about 1.5× the $451 Medicare rate). Southern Regional Medical Center charges insurers about $454, or about $440 in cash — below the fair price — a good deal. Located in Riverdale, 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	$440	98%
Blue Cross Blue Shieldmajor	$440 - $1,817	98%
Aetnamajor	$440 - $2,150	98%
Cignamajor	$440 - $918	98%
Humanamajor	$418 - $432	93%
CareSource	$454 - $771	101%
Devoted Health	$454	101%
Oscar Health	$572	127%
WellCare	$462	103%
+ 8 smaller / regional plans	$440 - $660

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

Excludes 6 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 440), 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 Southern Regional Medical Center 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 Southern Regional Medical Center

Compare: Blood transfusion at other GA hospitals

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