CMS Price Transparency Data

Blood transfusion

Facility: Caromont Regional Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$477

about 1.1× the $451 Medicare rate · typically $79–$680

modeled estimate · not a bill or quote

What this hospital charges insurers

$473

About the fair price

about $4 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $477 This hospital $473 Cash price $471 Hospital's list price $471

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $280 Priciest $473

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 $477 (about 1.1× the $451 Medicare rate). Caromont Regional Medical Center charges insurers about $473, or about $471 in cash — about the fair price. Located in Gastonia, 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	$72 - $2,325	16%
Blue Cross Blue Shieldmajor	$71 - $451	16%
Aetnamajor	$233 - $469	52%
Cignamajor	$340 - $838	75%
Humanamajor	$414 - $482	92%
AmeriHealth	$72	16%
Devoted Health	$473	105%
Molina	$132 - $473	29%
WellCare	$72	16%
+ 12 smaller / regional plans	$71 - $1,212

Excludes 4 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 471), 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 Caromont Regional Medical Center 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 Caromont Regional Medical Center

Compare: Blood transfusion at other NC hospitals

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