CMS Price Transparency Data

Blood transfusion

Facility: Neshoba County General Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $407
Cash Discount Price: $1,222
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Neshoba County General Hospital is $407. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,222. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.90x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.

Cash / Self-Pay

$1,222

Average discount available for prompt cash payment at this facility.

Insurance Median

$407

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: $1,222 (271%)

Insurance Median: $407 (90%)

Cash: $1,222 (271% of Medicare)

Ins. Median: $407 (90% 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
UnitedHealthcare	$106 - $407	24%
Magnolia Mcaid	$311	69%
Molina Mcaid	$311	69%
Mpcn Mcaid	$311	69%
Tricare	$367	81%
Humana	$407	90%
Magnolia Mcr Adv-All Other Plans	$407	90%
Molina Comm-All Other Plans	$407	90%
Molina Mcr Adv	$407	90%
Wellcare Mcr Adv-All Plans	$407	90%
First Choice Comm Ip/Op Only - All Plans	$509	113%
Ahs Ip/Op Only-All Plans	$715	159%
Blue Cross Blue Shield	$740	164%
Aetna	$873	194%
Cigna	$1,135	252%
Affordable Health Care-All Plans	$1,484	329%
Health Choice Ip/Op Only-All Plans	$1,484	329%
Health Link Ip/Op Only-All Plans	$1,484	329%
Geha-All Plans	$1,571	349%
Multiplan-All Plans	$1,571	349%
Mpcn Ip/Op Only-All Other Plans	$2,182	484%

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 $1,222.
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 Neshoba County General 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.