CMS Price Transparency Data

Blood transfusion

Facility: Northside Hospital Duluth

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$805
about 1.8× the $451 Medicare rate · typically $141–$2,561
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,511
Well above the fair price
about $1,706 over the fair price · 5.6× Medicare
Medicare pays $451 Fair price $805 This hospital $2,511 Cash price $1,998 Hospital's list price $2,664

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 $2,511

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 $805 (about 1.8× the $451 Medicare rate). Northside Hospital Duluth charges insurers about $2,511, or about $1,998 in cash — well above the fair price. Located in Duluth, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $805. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $435 - $4,172 97%
Blue Cross Blue Shieldmajor $435 - $34,850 97%
Aetnamajor $440 - $30,000 98%
Cignamajor $405 - $8,679 90%
Humanamajor $440 - $4,339 98%
Kaiser Permanentemajor $448 - $4,297 99%
Ambetter (Centene) $336 - $10,726 75%
Amerigroup $336 - $8,978 75%
CareSource $347 - $18,600 77%
Clover Health $457 - $4,380 101%
Health Net $1,652 - $6,303 367%
Oscar Health $1,252 - $3,487 278%
WellCare $448 - $4,297 99%
+ 28 smaller / regional plans $35 - $50,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals