CMS Price Transparency Data

Blood transfusion

Facility: Novant Health Presbyterian Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$727

about 1.6× the $451 Medicare rate · typically $74–$1,062

modeled estimate · not a bill or quote

What this hospital charges insurers

$801

About the fair price

about $74 over the fair price · 1.8× Medicare

Medicare pays $451 Fair price $727 This hospital $801 Cash price $703 Hospital's list price $1,405

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 $801

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 $727 (about 1.6× the $451 Medicare rate). Novant Health Presbyterian Medical Center charges insurers about $801, or about $703 in cash — about the fair price. Located in Charlotte, 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	$135 - $1,276	30%
Blue Cross Blue Shieldmajor	$135 - $1,573	30%
Aetnamajor	$397 - $1,748	88%
Cignamajor	$442	98%
Humanamajor	$429 - $1,573	95%
AmeriHealth	$135 - $388	30%
CareSource	$250 - $721	55%
WellCare	$135 - $388	30%
+ 9 smaller / regional plans	$132 - $2,119

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 703), 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 Novant Health Presbyterian 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 Novant Health Presbyterian Medical Center

Compare: Blood transfusion at other NC hospitals

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