CMS Price Transparency Data

Blood transfusion

Facility: Tristar Centennial Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,776
Cash Discount Price: $2,912
vs. Medicare Baseline: 3.94x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Tristar Centennial Medical Center is $1,776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,912. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.94x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$2,912

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,776

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: $2,912 (646%)

Insurance Median: $1,776 (394%)

Cash: $2,912 (646% of Medicare)

Ins. Median: $1,776 (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
United	$291 - $2,577	65%
Bright Health	$495 - $827	110%
Kentucky Labor Cabinet	$536	119%
Ambetter / Centene	$649 - $676	144%
Humana	$728 - $2,569	162%
Cigna	$734 - $3,454	163%
Blue Cross Blue Shield	$743 - $2,264	165%
Tennessee Donor Services	$789	175%
Aetna	$815 - $2,303	181%
Oscar	$990	220%
Centurion	$1,200	266%
Emerging Therapy Solutions	$1,427 - $1,951	317%
Bgfh Singlesource	$1,456 - $2,475	323%
Value Option	$1,456	323%
Multiplan	$1,601	355%
Southern Health Partners	$1,747	388%
Employers Health Network	$2,038	452%
Mhnet	$2,184	485%
Odom'S Tn Pride Sausage	$2,184	485%
Compsych	$2,329	517%
Apex Health	$2,550	566%
Nhc Advantage, Inc.	$2,550	566%
Pruitt Health (Allyalign)	$2,550	566%
Beech Street	$2,562	568%
Prime Health	$2,562	568%
UnitedHealthcare	$2,591 - $2,912	575%

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 $2,912.
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 Tristar Centennial 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.