CMS Price Transparency Data

Blood transfusion

Facility: Southern Ohio Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$280

about 0.6× the $451 Medicare rate · typically $46–$579

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $280 Cash price $636 Hospital's list price $1,043

How we calculate the fair BaseRate →

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	$82 - $1,125	18%
Blue Cross Blue Shieldmajor	$27 - $997	6%
Aetnamajor	$55 - $984	12%
Cignamajor	$58 - $1,061	13%
Humanamajor	$27 - $1,086	6%
Ambetter (Centene)	$38	8%
CareSource	$46 - $545	10%
Medical Mutual	$38 - $1,048	8%
Molina	$27 - $485	6%
WellCare	$28 - $38	6%
+ 6 smaller / regional plans	$38 - $1,125

Excludes 3 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 636), 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 Southern Ohio Medical Center 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 Southern Ohio Medical Center

Compare: Blood transfusion at other OH hospitals

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