CMS Price Transparency Data
Blood transfusion
Facility: Bmh-Calhoun
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $435
- Cash Discount Price: $292
- vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Bmh-Calhoun is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.97x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$292
Average discount available for prompt cash payment at this facility.
Insurance Median
$435
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: $292 (65%)
Insurance Median: $435 (97%)
Cash: $292 (65% of Medicare)
Ins. Median: $435 (97% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| PPO Holdings | $214 | 47% |
| Magnolia Regional Health Center | $225 | 50% |
| Tricare | $230 | 51% |
| Vaccn | $242 | 54% |
| Triwest | $242 | 54% |
| Ms Breast and Cervical | $242 | 54% |
| Devoted Health | $246 | 55% |
| Blue Cross Blue Shield | $249 - $882 | 55% |
| Shared Health | $254 | 56% |
| Humana | $254 - $450 | 56% |
| Primewell | $254 | 56% |
| Aetna | $254 - $365 | 56% |
| American Health Plan | $254 | 56% |
| Magnolia Ms | $275 | 61% |
| Littler | $281 | 62% |
| Cigna | $309 | 69% |
| First Choice Health Plan of Ms | $362 | 80% |
| First State Bank Trust | $411 | 91% |
| Burch Food Services | $411 | 91% |
| Minact | $435 | 97% |
| Mid-South Transport | $435 | 97% |
| Hattiesburg Clinic | $435 | 97% |
| Hospitality Management Advisors | $435 | 97% |
| Security One | $435 | 97% |
| Delta Industries | $435 | 97% |
| Collierville Schools | $435 | 97% |
| Y K Auto Group | $435 | 97% |
| Malco Theaters | $435 | 97% |
| Arlington Community Schools | $435 | 97% |
| W W Wood Products | $435 | 97% |
| Carlisle | $435 | 97% |
| City of Bartlett | $435 | 97% |
| W G Yates | $435 | 97% |
| Davidson Hospitality | $435 | 97% |
| Ritchey Automotive | $435 | 97% |
| Patterson Warehouses | $435 | 97% |
| Heavy Machines | $435 | 97% |
| Dunn Investment Company | $435 | 97% |
| Retzer Resources | $435 | 97% |
| Building Plastic | $435 | 97% |
| French Camp Academy | $435 | 97% |
| Rei Nation | $435 | 97% |
| Cannon Motor Company | $435 | 97% |
| Hollowell Industries | $435 | 97% |
| Eas Mssc Schools | $435 | 97% |
| Bartlett City Schools | $435 | 97% |
| Crittenden County | $435 | 97% |
| Lakeland School System | $435 | 97% |
| Silver Tree | $435 | 97% |
| Jas D Collier | $435 | 97% |
| State Systems | $435 | 97% |
| Brimhall Foods | $435 | 97% |
| Ashley Furniture Stores | $435 | 97% |
| Watkins Uiberall | $435 | 97% |
| Vaughn Electric | $435 | 97% |
| Town of Collierville | $435 | 97% |
| Armstrong Relocation | $435 | 97% |
| United Tn Holdings | $435 | 97% |
| Radians | $435 | 97% |
| Desoto Co Board of Supervisors | $435 | 97% |
| Gossett Motor Cars | $435 | 97% |
| Heartland Catfish Company | $435 | 97% |
| City of Lakeland | $435 | 97% |
| First Community Bank | $435 | 97% |
| Mechanical Systems | $435 | 97% |
| Veterans Evaluation Services | $437 | 97% |
| Molina | $446 - $765 | 99% |
| Christian Health Aid | $450 | 100% |
| Advanced Health Systems Inc. | $450 | 100% |
| PPO Plus | $478 | 106% |
| Harding Academy | $483 | 107% |
| Employers Health Network | $483 | 107% |
| Qca | $506 | 112% |
| Multiplan | $506 | 112% |