CMS Price Transparency Data

Blood transfusion

Facility: Tristar Skyline Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$527

about 1.2× the $451 Medicare rate · typically $163–$1,421

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $527 Cash price $2,473 Hospital's list price $2,473

How we calculate the fair BaseRate →

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	$611 - $2,875	136%
Blue Cross Blue Shieldmajor	$718 - $2,264	159%
Aetnamajor	$693 - $2,303	154%
Cignamajor	$623 - $3,454	138%
Humanamajor	$618 - $2,569	137%
Ambetter (Centene)	$552 - $574	122%
Bright Health	$420 - $827	93%
Health Net	$1,731	384%
Oscar Health	$990	220%
+ 7 smaller / regional plans	$455 - $2,550

Government programs also on file: Military & VA.

Excludes 3 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 2,473), 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 Tristar Skyline Medical Center 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 Tristar Skyline Medical Center

Compare: Blood transfusion at other TN hospitals

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