CMS Price Transparency Data

Blood transfusion

Facility: USA Health Children's & Women's Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$215

about 0.5× the $451 Medicare rate · typically $40–$517

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $215 Cash price $875 Hospital's list price $875

How we calculate the fair BaseRate →

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	$47 - $473	10%
Blue Cross Blue Shieldmajor	$46	10%
Aetnamajor	$47 - $482	10%
Cignamajor	$258 - $569	57%
Humanamajor	$47 - $569	10%
Ambetter (Centene)	$57	13%
Devoted Health	$47 - $613	10%
Molina	$52 - $354	12%
WellCare	$47	10%
+ 6 smaller / regional plans	$47 - $788

Excludes 1 rental-network / third-party entry (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 875), 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 USA Health Children's & Women's 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 USA Health Children's & Women's Hospital

Compare: Blood transfusion at other AL hospitals

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