CMS Price Transparency Data

Blood transfusion

Facility: Middlesboro Arh Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$321
about 0.7× the $451 Medicare rate · typically $101–$391
modeled estimate · not a bill or quote
What this hospital charges insurers
$300
About the fair price
about $21 under the fair price · 0.7× Medicare
Medicare pays $451 Fair price $321 This hospital $300 Cash price $547 Hospital's list price $911

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $180 Priciest $341

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $321 (about 0.7× the $451 Medicare rate). Middlesboro Arh Hospital charges insurers about $300, or about $547 in cash — about the fair price. Located in Middlesboro, KY.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $300 - $679 67%
Blue Cross Blue Shieldmajor $167 - $796 37%
Aetnamajor $167 - $847 37%
Humanamajor $167 - $300 37%
Molina $167 37%
WellCare $228 - $300 51%
+ 1 smaller / regional plan $547

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals