CMS Price Transparency Data

Blood transfusion

Facility: Novant Health Huntersville Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $801
  • Cash Discount Price: $703
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Novant Health Huntersville Medical Center is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.78x the Medicare baseline. Located in 10030 Gilead Road, Huntersville, NC.
Cash / Self-Pay
$703

Average discount available for prompt cash payment at this facility.

Insurance Median
$801

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: $703 (156%)
Insurance Median: $801 (178%)
Cash: $703 (156% of Medicare)
Ins. Median: $801 (178% 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.

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 $93 - $270 21%
Nc Department Of Public Safety $93 - $857 21%
Amerihealth $95 - $275 21%
Blue Cross Blue Shield $95 - $1,573 21%
UnitedHealthcare $95 - $1,276 21%
Wellcare $95 - $275 21%
Caresource North Carolina $250 - $721 55%
Atlantic Corporation Dba Atlantic Packaging $348 - $1,005 77%
Aetna $397 - $1,748 88%
Amps $416 - $1,202 92%
Humana $429 - $1,573 95%
Pace Of The Southern Piedmont $429 95%
Cigna $442 98%
Liberty Health $450 100%
Plotkin Health $454 - $1,311 101%
Medcost $537 - $1,639 119%
Primary Physician Care $560 - $1,617 124%
Multiplan $568 - $1,639 126%
Phcs $568 - $1,639 126%
Employers Choice Network $734 - $2,119 163%
Three Rivers Provider Network $734 - $2,119 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10030 Gilead Road, Huntersville, NC 28078
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals