CMS Price Transparency Data

Blood transfusion

Facility: Lewisgale Hospital Pulaski

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,546
Cash Discount Price: $3,394
vs. Medicare Baseline: 5.65x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Lewisgale Hospital Pulaski is $2,546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,394. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 5.65x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$3,394

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,546

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: $3,394 (753%)

Insurance Median: $2,546 (565%)

Cash: $3,394 (753% of Medicare)

Ins. Median: $2,546 (565% 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 565% of the Medicare baseline (a markup of 465%). 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
Universal Healthcare Group	$747 - $1,995	166%
United	$1,134 - $1,797	252%
Virginia Health Network	$1,188 - $2,410	264%
Aetna	$1,222 - $1,527	271%
Cigna	$1,409	313%
Greenvbrier Sporting Club	$2,036	452%
Corvel	$2,444	542%
Richfield Nursing Center	$2,546	565%
Richfield Retirement Community	$2,546	565%
Lifeworks	$2,550	566%
Multiplan	$2,613	580%
Community Care Network	$2,715	602%
Graham-White Manufacturing	$2,715	602%
Occunet Workers Comp	$2,715	602%
One Health Plan	$2,715	602%
Patients Choice	$2,987	663%
Blue Cross Blue Shield	$3,045 - $3,382	676%
4Most	$3,055	678%
American Postal Workers Union	$3,055	678%
Phcs	$3,055	678%
Star Transportation	$3,055	678%

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 $3,394.
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 Lewisgale Hospital Pulaski 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.