CMS Price Transparency Data

Blood transfusion

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $855
Cash Discount Price: $1,343
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Camc Greenbrier Valley Medical Center, Inc is $855. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,343. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.90x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$1,343

Average discount available for prompt cash payment at this facility.

Insurance Median

$855

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: $1,343 (298%)

Insurance Median: $855 (190%)

Cash: $1,343 (298% of Medicare)

Ins. Median: $855 (190% 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.

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
Blue Cross Blue Shield	$23 - $1,242	5%
Sentra Health	$23 - $437	5%
The Health Plan	$23 - $1,209	5%
Unicare	$23 - $24	5%
Aetna	$24 - $1,316	5%
Caresource	$24 - $1,074	5%
Clear Spring Health	$437	97%
Humana	$437 - $1,209	97%
UnitedHealthcare	$437 - $1,074	97%
Ally Align	$459	102%
Integrated Medical Solutions	$831	184%
Greenbrier Resort	$855 - $940	190%
Healthsmart	$855 - $940	190%
Naphcare	$874	194%
Multiplan	$965 - $1,168	214%
Fedmed	$1,099 - $1,209	244%

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 $1,343.
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 Camc Greenbrier Valley Medical Center, Inc 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.