CMS Price Transparency Data

Blood transfusion

Facility: Conway Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $407
  • Cash Discount Price: $1,276
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Conway Medical Center is $407. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,276. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.90x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.
Cash / Self-Pay
$1,276

Average discount available for prompt cash payment at this facility.

Insurance Median
$407

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: $1,276 (283%)
Insurance Median: $407 (90%)
Cash: $1,276 (283% of Medicare)
Ins. Median: $407 (90% 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
Blue Cross Blue Shield $36 - $1,012 8%
Absolute Total Care $38 - $639 8%
Aetna $38 - $928 8%
Clover Health $38 - $407 8%
Devoted $38 - $407 8%
Emblem $38 - $407 8%
Healthteam $38 - $407 8%
Humana $38 - $407 8%
Molina $38 - $407 8%
Nhc $38 - $428 8%
Pruitt $38 - $428 8%
Select Health $38 - $407 8%
UnitedHealthcare $38 - $869 8%
Velocity $38 - $815 8%
Wellcare $38 - $407 8%
Medcost $719 - $720 160%
Blue Choice $780 173%
Cigna $892 - $893 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Singleton Ridge Road, Conway, SC 29526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals