CMS Price Transparency Data

Blood transfusion

Facility: Trident Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $861
Cash Discount Price: $1,924
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Trident Medical Center is $861. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,924. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.91x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,924

Average discount available for prompt cash payment at this facility.

Insurance Median

$861

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: $1,924 (427%)

Insurance Median: $861 (191%)

Cash: $1,924 (427% of Medicare)

Ins. Median: $861 (191% 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
Absolute Total Care	$130 - $403	29%
Molina	$160 - $1,586	35%
Aetna	$190 - $9,917	42%
Medcost	$340 - $1,259	75%
United	$356 - $5,123	79%
Select Health	$383 - $963	85%
Employers Health Network	$400 - $1,008	89%
Occunet	$445 - $1,120	99%
Vocational Rehab	$481 - $1,210	107%
Blue Choice Health Plan	$563	125%
Blue Cross Blue Shield	$563 - $2,128	125%
Humana	$578 - $1,680	128%
First Health	$650 - $1,635	144%
Mhnet	$668 - $1,680	148%
Evernorth	$712 - $1,792	158%
Sc State Employees	$714	158%
Multiplan	$756 - $1,904	168%
Prime Health	$756 - $1,904	168%
Novanet	$801 - $2,016	178%
Nhc Advantage	$2,550	566%
Pruitt Health	$2,550	566%

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 $1,924.
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 Trident Medical Center 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.