CMS Price Transparency Data

Blood transfusion

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $592
Cash Discount Price: $1,562
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Memorial Mission Hospital and Asheville Surgery Ce is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,562. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.31x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$1,562

Average discount available for prompt cash payment at this facility.

Insurance Median

$592

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: $1,562 (347%)

Insurance Median: $592 (131%)

Cash: $1,562 (347% of Medicare)

Ins. Median: $592 (131% 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	$273 - $644	61%
United	$278 - $2,074	62%
Wellcare	$282 - $310	63%
Amerihealth	$284 - $313	63%
Partners Health Management	$287 - $316	64%
Vaya Health	$287 - $316	64%
Oscar	$531 - $2,133	118%
Aetna	$539 - $1,183	120%
Cigna	$552 - $815	122%
Medcost	$649 - $1,391	144%
Caresource	$655 - $720	145%
Amerihealth Caritas	$699 - $769	155%
Magellan	$893 - $982	198%
Magellan Behavioral Health	$893 - $982	198%
Multiplan	$1,190 - $1,309	264%
Avalon Administrative Services	$1,265 - $1,391	281%
Prime Health	$1,309 - $1,473	290%
Apex Health	$2,550	566%
Nhc Advantage	$2,800	621%
Ambetter / Centene	$10,074	2235%

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 $1,562.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.