CMS Price Transparency Data

Blood transfusion

Facility: Hancock County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $372
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Hancock County Hospital is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.83x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

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: $117 (26%)
Insurance Median: $372 (83%)
Cash: $117 (26% of Medicare)
Ins. Median: $372 (83% 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 $36 - $509 8%
Sentara Health $131 - $361 29%
UnitedHealthcare $149 - $616 33%
Cigna $236 - $379 52%
Medcost $242 54%
Aetna $361 - $622 80%
Ambetter / Centene $361 80%
Amerigroup $361 - $509 80%
Managed Medicaire $361 80%
Medicare (plans) $361 80%
United Mine Workers Of America $361 80%
Wellcare $361 - $509 80%
Humana $367 81%
Devoted Health Plan $379 84%
Molina Healthcare $379 - $628 84%
Nhc Advantage $379 84%
First Health Coventry $407 90%
Seven Corners, Inc. $509 113%
Optima Health $617 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1519 Main Street Hwy 33, Sneedville, TN 37869
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals