CMS Price Transparency Data

Blood transfusion

Facility: Beckley Arh Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $377
Cash Discount Price: $575
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Beckley Arh Hospital is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $575. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.84x the Medicare baseline. Located in 306 Stanaford Road, Beckley, WV.

Cash / Self-Pay

$575

Average discount available for prompt cash payment at this facility.

Insurance Median

$377

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: $575 (128%)

Insurance Median: $377 (84%)

Cash: $575 (128% of Medicare)

Ins. Median: $377 (84% 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
Aetna	$377 - $843	84%
Blue Cross Blue Shield	$377	84%
Humana	$377	84%
The Health Plan	$377 - $3,136	84%
UnitedHealthcare	$377 - $757	84%
Wellcare Of Kentucky	$377	84%
The Health Plan Hmo	$805	179%
Highmark	$1,885 - $2,364	418%

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 $575.
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 Beckley Arh Hospital 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.