CMS Price Transparency Data
Blood transfusion
Facility: Baptist Memorial Hospital Tipton
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $721
- Cash Discount Price: $297
- vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Baptist Memorial Hospital Tipton is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.60x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$297
Average discount available for prompt cash payment at this facility.
Insurance Median
$721
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: $297 (66%)
Insurance Median: $721 (160%)
Cash: $297 (66% of Medicare)
Ins. Median: $721 (160% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $321 - $420 | 71% |
| Wellpoint | $348 - $420 | 77% |
| Triwest | $384 | 85% |
| Vaccn | $400 | 89% |
| Veterans Evaluation Services | $400 | 89% |
| Blue Cross Blue Shield | $408 - $1,847 | 91% |
| Devoted Health | $408 | 91% |
| Molina | $408 - $741 | 91% |
| American Health Plan | $420 | 93% |
| Humana | $420 - $803 | 93% |
| Novasys | $420 - $927 | 93% |
| Shared Health | $420 | 93% |
| Tribute Health Plan | $420 | 93% |
| Ppo Holdings | $470 | 104% |
| Magnolia Regional Health Center | $494 | 110% |
| Multiplan | $531 - $927 | 118% |
| Littler | $618 | 137% |
| Arlington Community Schools | $661 | 147% |
| Bartlett City Schools | $661 | 147% |
| City Of Bartlett | $661 | 147% |
| City Of Lakeland | $661 | 147% |
| Collierville Schools | $661 | 147% |
| Eas Mssc Schools | $661 | 147% |
| Lakeland School System | $661 | 147% |
| Town Of Collierville | $661 | 147% |
| Oscar | $673 | 149% |
| Magnolia Tn | $676 | 150% |
| First State Bank Trust | $681 | 151% |
| Armstrong Relocation | $721 | 160% |
| Ashley Furniture Stores | $721 | 160% |
| Brimhall Foods | $721 | 160% |
| Building Plastic | $721 | 160% |
| Burch Food Services | $721 | 160% |
| Cannon Motor Company | $721 | 160% |
| Carlisle | $721 | 160% |
| Crittenden County | $721 | 160% |
| Davidson Hospitality | $721 | 160% |
| Desoto Co Board Of Supervisors | $721 | 160% |
| Dunn Investment Company | $721 | 160% |
| First Choice Health Plan Of Ms | $721 - $865 | 160% |
| First Community Bank | $721 | 160% |
| French Camp Academy | $721 | 160% |
| Gossett Motor Cars | $721 | 160% |
| Hattiesburg Clinic | $721 | 160% |
| Heartland Catfish Company | $721 | 160% |
| Heavy Machines | $721 | 160% |
| Hollowell Industries | $721 | 160% |
| Hospitality Management Advisors | $721 | 160% |
| Jas D Collier | $721 | 160% |
| Malco Theaters | $721 | 160% |
| Mechanical Systems | $721 | 160% |
| Mid-South Transport | $721 | 160% |
| Patterson Warehouses | $721 | 160% |
| Radians | $721 | 160% |
| Rei Nation | $721 | 160% |
| Retzer Resources | $721 | 160% |
| Ritchey Automotive | $721 | 160% |
| Security One | $721 | 160% |
| Silver Tree | $721 | 160% |
| State Systems | $721 | 160% |
| United Tn Holdings | $721 | 160% |
| Vaughn Electric | $721 | 160% |
| W G Yates | $721 | 160% |
| W W Wood Products | $721 | 160% |
| Watkins Uiberall | $721 | 160% |
| Y K Auto Group | $721 | 160% |
| Access Health Services | $742 - $801 | 165% |
| Butler Snow | $742 | 165% |
| UnitedHealthcare | $742 | 165% |
| Employers Health Network | $801 | 178% |
| Harding Academy | $801 | 178% |
| Mpcn | $927 | 206% |
| Ppo Plus | $1,051 | 233% |
| Qca | $1,112 | 247% |
| Cigna | $2,600 - $2,860 | 577% |