CMS Price Transparency Data

Blood transfusion

Facility: Columbus Regional Healthcare System

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $456
Cash Discount Price: $527
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Columbus Regional Healthcare System is $456. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.

Cash / Self-Pay

$527

Average discount available for prompt cash payment at this facility.

Insurance Median

$456

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: $527 (117%)

Insurance Median: $456 (101%)

Cash: $527 (117% of Medicare)

Ins. Median: $456 (101% 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
Alliance	$168	37%
Amerihealth	$168	37%
Apex Health	$168	37%
Cardinal	$168	37%
Carolina Complete Health	$168	37%
Healthy Blue	$168	37%
Partners	$168	37%
Sandhills	$168	37%
Trillium	$168	37%
UnitedHealthcare	$168 - $512	37%
Wellcare	$168 - $410	37%
Molina	$193	43%
Blue Cross Blue Shield	$327 - $483	73%
Troy	$410	91%
Va Communicare Care	$410	91%
Queens University	$414	92%
Vaya Health	$414	92%
Liberty	$418	93%
Humana	$422	94%
Aetna	$424 - $730	94%
Devoted Health	$427	95%
Cigna	$431 - $715	96%
Ambetter / Centene	$438 - $509	97%
Oscar	$489 - $549	108%
Employers Health Network	$499 - $557	111%
Quicktrip	$602	134%
Multiplan	$677 - $715	150%
Choicecare	$715	159%
Healthgram	$715	159%
Medcost	$715	159%

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 $527.
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 Columbus Regional Healthcare System 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.