CMS Price Transparency Data

Blood transfusion

Facility: Prisma Health Hillcrest Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$453

about 1.0× the $451 Medicare rate · typically $167–$626

modeled estimate · not a bill or quote

What this hospital charges insurers

$442

About the fair price

about $11 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $453 This hospital $442 Cash price $1,531 Hospital's list price $2,355

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $79 Priciest $442

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $453 (about 1.0× the $451 Medicare rate). Prisma Health Hillcrest Hospital charges insurers about $442, or about $1,531 in cash — about the fair price. Located in Simpsonville, SC.

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	$363 - $2,140	81%
Blue Cross Blue Shieldmajor	$421 - $1,140	93%
Aetnamajor	$442 - $1,860	98%
Cignamajor	$421 - $1,634	93%
Humanamajor	$70 - $431	16%
Ambetter (Centene)	$774	172%
Molina	$463	103%
MVP Health Care	$1,634	363%
WellCare	$442	98%
+ 23 smaller / regional plans	$66 - $2,190

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 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 1,531), 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 Prisma Health Hillcrest Hospital 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 Prisma Health Hillcrest Hospital

Compare: Blood transfusion at other SC hospitals

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