CMS Price Transparency Data

Blood transfusion

Facility: Anmed Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $40
Cash Discount Price: $35
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Anmed Health is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.09x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $35 (8%)

Insurance Median: $40 (9%)

Cash: $35 (8% of Medicare)

Ins. Median: $40 (9% 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.

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
Employee Benefit Management Services [869]	$12 - $50	3%
Preferred Administrators [19]	$14 - $63	3%
Phcs [940]	$21 - $92	5%
Medicaid / KanCare	$27 - $35	6%
Humana	$28 - $106	6%
Select Health Of Sc [637]	$31	7%
Absolute Total Care [58]	$35	8%
Bright Health Alt Payer [1001]	$36	8%
Medicare (plans)	$36 - $39	8%
Aetna	$38 - $61	8%
Blue Cross Blue Shield	$38 - $63	8%
UnitedHealthcare	$38 - $53	8%
Vaccn - Va Community Care Network [16]	$38	8%
Veterans Administration [633]	$38	8%
Absolute Total Care Mcr Plans Alt Payer [4101]	$39	9%
Absolute Total Care Mcr Plans [41]	$39	9%
Champva [604]	$39	9%
Cigna	$39 - $58	9%
Devoted Health Alt Payer [9401]	$39	9%
Devoted Health [94]	$39	9%
Molina Dual Options Alt Payer [1501]	$39	9%
Molina Dual Options [15]	$39	9%
Tricare	$39	9%
Blue Choice Health Plan [922]	$40 - $69	9%
First Choice Vip Careplus Alt Payer [3301]	$40	9%
First Choice Vip [33]	$40	9%
Nhc Advantage Alt Payer [6101]	$40	9%
Nhc Advantage [61]	$40	9%
Bright Health [11]	$42	9%
Geha [302]	$53	12%
Golden Rule Ins Co [584]	$53	12%
Ambetter / Centene	$54	12%
First Choice Next [96]	$55	12%
Molina Marketplace [97]	$55	12%
Nalc Health Benefit Plan [291]	$58	13%
Workers Compensation [622]	$60	13%
Mail Handlers Benefit Plan [327]	$61	14%
Rural Carrier Benefit Plan [406]	$61	14%
Planned Administrators [886]	$63	14%
Thomas Cooper & Company [315]	$63	14%
Edison Health Solutions [95]	$66	15%
Healthscope [98]	$66	15%
Medcost [206]	$67	15%

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 $35.
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 Anmed Health 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.