CMS Price Transparency Data

Blood transfusion

Facility: Merit Health River Region

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$425

about 0.9× the $451 Medicare rate · typically $367–$478

modeled estimate · not a bill or quote

What this hospital charges insurers

$425

About the fair price

0.9× Medicare

Medicare pays $451 Fair price $425 This hospital $425 Cash price $1,019 Hospital's list price $4,244

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $425

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

A fair price for a Blood transfusion is about $425 (about 0.9× the $451 Medicare rate). Merit Health River Region charges insurers about $425, or about $1,019 in cash — about the fair price. Located in Vicksburg, MS.

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	$64 - $647	14%
Blue Cross Blue Shieldmajor	$981	218%
Aetnamajor	$425 - $1,698	94%
Cignamajor	$1,753 - $2,971	389%
Humanamajor	$647	144%
CareSource	$340	75%
Devoted Health	$421	93%
HealthPartners	$3,183	706%
Molina	$360 - $660	80%
WellCare	$428	95%
+ 19 smaller / regional plans	$333 - $3,683

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

Excludes 2 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 1,019), 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 Merit Health River Region 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 Merit Health River Region

Compare: Blood transfusion at other MS hospitals

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