CMS Price Transparency Data

Blood transfusion

Facility: Jeff Davis Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $331
Cash Discount Price: $153
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Jeff Davis Hospital is $331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.73x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$331

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: $153 (34%)

Insurance Median: $331 (73%)

Cash: $153 (34% of Medicare)

Ins. Median: $331 (73% 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
Pen_Network	$58	13%
Medicaid / KanCare	$81 - $248	18%
Humana	$82 - $394	18%
Peach_State	$82 - $92	18%
Wellcare	$82 - $92	18%
Medicare (plans)	$128 - $145	28%
Blue Cross Blue Shield	$131 - $347	29%
Care_Improvement_Plus	$131 - $146	29%
Coventry_Hmo	$290 - $324	64%
Coventry_Pos	$290 - $324	64%
Uhc_Hmo	$310 - $347	69%
Uhc_Indemnity	$310 - $347	69%
Uhc_Ppo	$310 - $347	69%
Coventry_Ppo	$319 - $357	71%
Beech_Street	$331 - $370	73%
Care_Source	$331 - $370	73%
Cigna	$331 - $370	73%
One_Health_Ppo	$331 - $370	73%
Choicecare	$352 - $394	78%
Community_Care_Network	$352 - $394	78%
Georgia_Hospital_Network	$352 - $394	78%
Industry_Buying_Group	$352 - $394	78%
Novanet	$352 - $394	78%
Principal_Health_Care_Of_Georgia	$352 - $394	78%
Three_Rivers_Provider_Network	$352 - $394	78%
Usa_Managed_Care	$352 - $394	78%
Memorial_Health_Partners	$373 - $417	83%
Tricare	$385 - $431	85%
Multiplan	$393 - $440	87%

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 $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 Jeff Davis 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.