CMS Price Transparency Data

Blood transfusion

Facility: Tristar Greenview Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $617
Cash Discount Price: $823
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Tristar Greenview Regional Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $823. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.37x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.

Cash / Self-Pay

$823

Average discount available for prompt cash payment at this facility.

Insurance Median

$617

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: $823 (183%)

Insurance Median: $617 (137%)

Cash: $823 (183% of Medicare)

Ins. Median: $617 (137% 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
Blue Cross Blue Shield	$58 - $10,784	13%
Humana	$58 - $3,350	13%
Molina	$58	13%
United	$58 - $3,176	13%
Coventry Cares	$115	26%
Prime Health	$132	29%
Cigna	$245 - $2,388	54%
Cdm Health	$403	89%
Southern Kentucky Rehab	$617	137%
Occupational Mc Alliance	$658	146%
Tim Davis And Associates	$658	146%
Up And Up	$658	146%
Fortified Provider Network	$741	164%
Multiplan	$741	164%
Signature Advantage	$2,550	566%

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 $823.
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 Tristar Greenview Regional 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.