CMS Price Transparency Data

Blood transfusion

Facility: Wilkes Regional Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$457

about 1.0× the $451 Medicare rate · typically $320–$609

modeled estimate · not a bill or quote

What this hospital charges insurers

$430

About the fair price

about $27 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $457 This hospital $430 Cash price $431 Hospital's list price $862

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 $430

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 $457 (about 1.0× the $451 Medicare rate). Wilkes Regional Medical Center charges insurers about $430, or about $431 in cash — about the fair price. Located in North Wilkesboro, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$163 - $460	36%
Blue Cross Blue Shieldmajor	$267 - $503	59%
Aetnamajor	$328 - $592	73%
Cignamajor	$452 - $467	100%
Ambetter (Centene)	$365 - $525	81%
AmeriHealth	$161 - $501	36%
Oscar Health	$474 - $560	105%
WellCare	$163	36%
+ 8 smaller / regional plans	$161 - $509

Excludes 3 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 431), 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 Wilkes 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 Wilkes Regional Medical Center

Compare: Blood transfusion at other NC hospitals

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