CMS Price Transparency Data

Blood transfusion

Facility: North Sunflower Medical Center Cah

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$394

about 0.9× the $451 Medicare rate · typically $47–$937

modeled estimate · not a bill or quote

What this hospital charges insurers

$100

Below the fair price — a good deal

about $294 under the fair price · 0.2× Medicare

Medicare pays $451 Fair price $394 This hospital $100 Cash price $50 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

One of the lower prices — 6 of 8 other MS hospitals charge more for the same procedure.

Cheapest $75 Priciest $397

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 $394 (about 0.9× the $451 Medicare rate). North Sunflower Medical Center Cah charges insurers about $100, or about $50 in cash — below the fair price — a good deal. Located in Ruleville, MS.

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	$68	15%
Blue Cross Blue Shieldmajor	$100	22%
Aetnamajor	$53 - $68	12%
Humanamajor	$53	12%
Ambetter (Centene)	$54	12%
+ 1 smaller / regional plan	$65

Government programs also on file: Medicare, Medicaid.

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 50), 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 North Sunflower Medical Center Cah 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 North Sunflower Medical Center Cah

Compare: Blood transfusion at other MS hospitals

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