CMS Price Transparency Data

Blood transfusion

Facility: Blount Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $630
Cash Discount Price: $558
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Blount Memorial Hospital is $630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $558. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.40x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$558

Average discount available for prompt cash payment at this facility.

Insurance Median

$630

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: $558 (124%)

Insurance Median: $630 (140%)

Cash: $558 (124% of Medicare)

Ins. Median: $630 (140% 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
Blue Cross Blue Shield	$129 - $431	29%
Golden Rule Insurance Company [2991]	$133	30%
Oxford Health Plans [2992]	$133	30%
UnitedHealthcare	$133 - $493	30%
Medicaid / KanCare	$277 - $659	61%
Tricare	$407	90%
Humana	$415	92%
Medicare (plans)	$415 - $431	92%
Prisma Health Seniorcare Pace - Midlands [5400]	$418	93%
Prisma Health Seniorcare Pace-Upstate [5200]	$418	93%
Cigna	$431 - $650	96%
Mvp Health Care [3037]	$562	125%
Promise Health Plan Contracted [2401]	$630 - $1,080	140%
Ambetter / Centene	$649	144%
Orangeburg Senior Helping Center Pace [5401]	$720	160%
Consociate Health Contracted [4835]	$921	204%
Fairos/Occunet Contracted [4837]	$963	214%
Bob Jones Univ-Pai [821]	$1,080	240%
Preferred Administrators Contracted [2839]	$1,260	280%
Medcost [2940]	$1,332 - $1,494	296%
Atlantic Packaging Contracted [4833]	$1,350	300%
Aps Healthcare System [2981]	$1,440	319%
Multiplan/Phcs Contracted [2950]	$1,602	355%
Aetna	$1,620	359%
Meritain Health Contracted [2200]	$1,620	359%
Nippon [2300]	$1,620	359%
Vsp Vision Care [2986]	$1,620	359%
First Health Contracted [2952]	$1,674	371%
Furman Int/Allen University Student [2951]	$1,674	371%
Quiktrip-First Health [3067]	$1,674	371%

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 $558.
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 Blount Memorial Hospital 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.