CMS Price Transparency Data

Blood transfusion

Facility: Novant Health Medical Park Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$574

about 1.3× the $451 Medicare rate · typically $378–$1,274

modeled estimate · not a bill or quote

What this hospital charges insurers

$563

About the fair price

about $11 under the fair price · 1.2× Medicare

Medicare pays $451 Fair price $574 This hospital $563 Cash price $586 Hospital's list price $976

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 $563

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 $574 (about 1.3× the $451 Medicare rate). Novant Health Medical Park Hospital charges insurers about $563, or about $586 in cash — about the fair price. Located in Winston-Salem, 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	$118 - $1,477	26%
Blue Cross Blue Shieldmajor	$118 - $1,580	26%
Aetnamajor	$301 - $1,755	67%
Cignamajor	$189 - $849	42%
Humanamajor	$381 - $1,709	85%
AmeriHealth	$118 - $530	26%
CareSource	$196 - $878	43%
WellCare	$118 - $530	26%
+ 10 smaller / regional plans	$116 - $2,128

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 586), 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 Medical Park Hospital 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 Medical Park Hospital

Compare: Blood transfusion at other NC hospitals

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