CMS Price Transparency Data

Blood transfusion

Facility: UNC Health Care Wayne

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$465

about 1.0× the $451 Medicare rate · typically $184–$1,052

modeled estimate · not a bill or quote

What this hospital charges insurers

$417

Below the fair price — a good deal

about $48 under the fair price · 0.9× Medicare

Medicare pays $451 Fair price $465 This hospital $417 Cash price $473 Hospital's list price $789

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NC hospitals compared.

Cheapest $280 Priciest $425

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

A fair price for a Blood transfusion is about $465 (about 1.0× the $451 Medicare rate). UNC Health Care Wayne charges insurers about $417, or about $473 in cash — below the fair price — a good deal. Located in Goldsboro, NC.

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	$216 - $1,109	48%
Blue Cross Blue Shieldmajor	$417 - $562	93%
Aetnamajor	$417 - $679	93%
Cignamajor	$417 - $1,109	93%
Humanamajor	$417 - $461	93%
AmeriHealth	$216 - $223	48%
WellCare	$216 - $417	48%
+ 9 smaller / regional plans	$216 - $1,109

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 473), 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 UNC Health Care Wayne 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 UNC Health Care Wayne

Compare: Blood transfusion at other NC hospitals

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