CMS Price Transparency Data

Blood transfusion

Facility: Banner Estrella Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$506

about 1.1× the $451 Medicare rate · typically $282–$746

modeled estimate · not a bill or quote

What this hospital charges insurers

$466

About the fair price

about $40 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $506 This hospital $466 Cash price $446 Hospital's list price $1,559

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 $506 (about 1.1× the $451 Medicare rate). Banner Estrella Medical Center charges insurers about $466, or about $446 in cash — about the fair price. Located in Phoenix, 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	$325 - $652	72%
Blue Cross Blue Shieldmajor	$466 - $1,397	103%
Aetnamajor	$419 - $1,080	93%
Cignamajor	$466 - $1,285	103%
Humanamajor	$466 - $480	103%
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 - $1,403

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 446), 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 Estrella Medical Center 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 Estrella Medical Center

Compare: Blood transfusion at other AZ hospitals

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