CMS Price Transparency Data

Blood transfusion

Facility: Maury Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $724
  • Cash Discount Price: $508
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Maury Regional Hospital is $724. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $508. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.61x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$508

Average discount available for prompt cash payment at this facility.

Insurance Median
$724

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: $508 (113%)
Insurance Median: $724 (161%)
Cash: $508 (113% of Medicare)
Ins. Median: $724 (161% 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 $41 - $1,093 9%
UnitedHealthcare $300 - $2,495 67%
Wellpoint $341 - $505 76%
Wellpoint Tci $341 76%
Humana $347 - $405 77%
Wayne County Jail $377 - $704 84%
Cigna $380 - $2,139 84%
Farm Bureau Health Plans $380 - $405 84%
Medicare (plans) $380 - $405 84%
Aetna $391 - $1,791 87%
Nhc $391 - $417 87%
Wellcare Harmony Health $391 - $417 87%
American Health Plans $392 - $405 87%
Lawrence County Jail $566 - $1,057 126%
Lewis County Jail $566 - $1,057 126%
Marshall County Jail $566 - $1,057 126%
Medrisk $567 126%
State Of Tennessee $567 126%
Beech Street $603 - $1,127 134%
Multiplan $603 - $1,127 134%
Phcs $603 - $1,127 134%
Ambetter / Centene $708 - $956 157%
Firsthealth $724 - $1,353 161%
Oscar $969 - $1,032 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals