CMS Price Transparency Data

Blood transfusion

Facility: Lee County Community Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$519

about 1.2× the $451 Medicare rate · typically $78–$1,029

modeled estimate · not a bill or quote

What this hospital charges insurers

$509

About the fair price

about $10 under the fair price · 1.1× Medicare

Medicare pays $451 Fair price $519 This hospital $509 Cash price $117 Hospital's list price $509

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $396 Priciest $509

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 $519 (about 1.2× the $451 Medicare rate). Lee County Community Hospital charges insurers about $509, or about $117 in cash — about the fair price. Located in Pennington Gap, 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	$112 - $814	25%
Blue Cross Blue Shieldmajor	$45 - $790	10%
Aetnamajor	$112 - $821	25%
Cignamajor	$118 - $509	26%
Humanamajor	$114	25%
Ambetter (Centene)	$112	25%
Amerigroup	$112 - $509	25%
Devoted Health	$118	26%
Molina	$116 - $821	26%
Sentara	$112 - $790	25%
+ 4 smaller / regional plans	$112 - $269

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 117), 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 Lee 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 Lee County Community Hospital

Compare: Blood transfusion at other VA hospitals

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