CMS Price Transparency Data

Blood transfusion

Facility: Novant Health Brunswick Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $941
Cash Discount Price: $710
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Novant Health Brunswick Medical Center is $941. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.09x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$710

Average discount available for prompt cash payment at this facility.

Insurance Median

$941

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: $710 (158%)

Insurance Median: $941 (209%)

Cash: $710 (158% of Medicare)

Ins. Median: $941 (209% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Carolina Complete	$159 - $249	35%
Nc Department Of Public Safety	$159 - $946	35%
Amerihealth	$162 - $254	36%
Blue Cross Blue Shield	$162 - $1,274	36%
UnitedHealthcare	$162 - $1,084	36%
Wellcare	$162 - $254	36%
Cigna	$442 - $982	98%
Caresource North Carolina	$451 - $708	100%
Humana	$473 - $1,521	105%
Pace Of The Southern Piedmont	$473	105%
New Hanover Health Advantage	$483	107%
Aetna	$485 - $1,504	108%
Liberty Health	$497	110%
Atlantic Corporation Dba Atlantic Packaging	$609 - $955	135%
Amps	$620 - $973	138%
Plotkin Health	$677 - $1,061	150%
Medcost	$849 - $1,484	188%
Transformhealth	$902 - $1,415	200%
Multiplan	$1,015 - $1,592	225%
Phcs	$1,015 - $1,592	225%
Ambetter / Centene	$1,065	236%
Employers Choice Network	$1,094 - $1,716	243%
Three Rivers Provider Network	$1,094 - $1,716	243%

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 $710.
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 Novant Health Brunswick Medical Center 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.