CMS Price Transparency Data

Blood transfusion

Facility: Banner-University Medical Center South Campus

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$515

about 1.1× the $451 Medicare rate · typically $160–$805

modeled estimate · not a bill or quote

What this hospital charges insurers

$466

About the fair price

about $49 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $515 This hospital $466 Cash price $318 Hospital's list price $1,613

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 0 charge more and 4 charge less, among the 9 AZ hospitals compared.

Cheapest $71 Priciest $466

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $515 (about 1.1× the $451 Medicare rate). Banner-University Medical Center South Campus charges insurers about $466, or about $318 in cash — about the fair price. Located in Tucson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$359 - $652	80%
Blue Cross Blue Shieldmajor	$466 - $1,192	103%
Aetnamajor	$419 - $1,116	93%
Cignamajor	$466 - $1,190	103%
Humanamajor	$480	106%
Kaiser Permanentemajor	$466	103%
Banner Health	$288 - $466	64%
Devoted Health	$489	108%
Health Net	$288 - $690	64%
Oscar Health	$769	171%
UPMC Health Plan	$466	103%
+ 14 smaller / regional plans	$288 - $1,548

Government programs also on file: Military & VA.

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 318), 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 Banner-University Medical Center South Campus 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 Banner-University Medical Center South Campus

Compare: Blood transfusion at other AZ hospitals

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