CMS Price Transparency Data

Blood transfusion

Facility: Grand Strand Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,774
Cash Discount Price: $3,255
vs. Medicare Baseline: 3.94x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Grand Strand Regional Medical Center is $1,774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,255. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.94x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$3,255

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,774

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: $3,255 (722%)

Insurance Median: $1,774 (394%)

Cash: $3,255 (722% of Medicare)

Ins. Median: $1,774 (394% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 394% of the Medicare baseline (a markup of 294%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$475 - $586	105%
Cigna	$514	114%
Blue Choice Health Plan	$549	122%
Blue Cross Blue Shield	$549 - $3,092	122%
Molina	$586 - $1,586	130%
Sc State Employees	$714	158%
Aetna	$928 - $9,681	206%
United	$1,387 - $6,978	308%
Select Health	$1,400	311%
Occunet	$1,628	361%
Medcost	$1,631 - $2,223	362%
Vocational Rehab	$1,758	390%
Employers Health Network	$1,790	397%
Nhc Advantage	$2,550	566%
Pruitt Health	$2,550	566%
Evernorth	$2,604	578%
First Health	$2,685	596%
Global Excel Management	$2,702	599%
Humana	$2,767	614%
Multiplan	$2,767	614%
National Choicecare	$2,767	614%
Prime Health	$2,767	614%
Novanet	$2,930	650%

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 $3,255.
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 Grand Strand Regional 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.