CMS Price Transparency Data

Blood transfusion

Facility: Smyth County Community Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$503

about 1.1× the $451 Medicare rate · typically $374–$967

modeled estimate · not a bill or quote

What this hospital charges insurers

$446

Below the fair price — a good deal

about $57 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $503 This hospital $446 Cash price $119 Hospital's list price $796

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 7 of 8 other VA hospitals charge less.

Cheapest $396 Priciest $448

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $503 (about 1.1× the $451 Medicare rate). Smyth County Community Hospital charges insurers about $446, or about $119 in cash — below the fair price — a good deal. Located in Marion, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$268 - $553	59%
Blue Cross Blue Shieldmajor	$45 - $796	10%
Aetnamajor	$430 - $677	95%
Cignamajor	$309 - $452	69%
Humanamajor	$430	95%
Ambetter (Centene)	$938	208%
Amerigroup	$430 - $796	95%
Devoted Health	$452	100%
Molina	$448 - $575	99%
Sentara	$221 - $553	49%
+ 3 smaller / regional plans	$430 - $796

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 119), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Smyth County Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Smyth County Community Hospital

Compare: Blood transfusion at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.