CMS Price Transparency Data

Blood transfusion

Facility: Angel Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $582
  • Cash Discount Price: $1,489
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Angel Medical Center is $582. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,489. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.29x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.
Cash / Self-Pay
$1,489

Average discount available for prompt cash payment at this facility.

Insurance Median
$582

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: $1,489 (330%)
Insurance Median: $582 (129%)
Cash: $1,489 (330% of Medicare)
Ins. Median: $582 (129% 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
Amerigroup $34 8%
Blue Cross Blue Shield $253 - $582 56%
United $270 - $670 60%
Wellcare $274 61%
Amerihealth $277 61%
Partners Health Management $280 62%
Vaya Health $280 62%
Aetna $328 - $959 73%
Cigna $517 - $852 115%
Amerihealth Caritas $581 129%
Oscar $637 141%
Caresource $655 145%
Medcost $655 - $787 145%
Magellan $893 198%
Magellan Behavioral Health $893 198%
Multiplan $1,191 264%
Avalon Administrative Services $1,266 281%
Prime Health $1,310 - $1,340 291%
Apex Health $2,550 566%
Nhc Advantage $2,800 621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 124 Center Court Po Box 1209, Franklin, NC 28734
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals