CMS Price Transparency Data
Blood transfusion
Facility: Adventist Health White Memorial
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $3,471
- Cash Discount Price: $1,000
- vs. Medicare Baseline: 7.70x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Adventist Health White Memorial is $3,471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,000. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 7.70x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$1,000
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,471
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: $1,000 (222%)
Insurance Median: $3,471 (770%)
Cash: $1,000 (222% of Medicare)
Ins. Median: $3,471 (770% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 770% of the Medicare baseline (a markup of 670%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Bc Medi-Cal | $26 | 6% |
| Blue Shield Epn | $441 - $2,203 | 98% |
| UnitedHealthcare | $450 - $3,964 | 100% |
| Access Group | $482 | 107% |
| Ahp - All Other Plans | $482 | 107% |
| Lasalle Mg Commercial - All Other Plans | $482 | 107% |
| Blue Shield - All Other Plans | $513 - $2,564 | 114% |
| Blue Shield Mcr Adv | $555 - $2,777 | 123% |
| Access Senior - All Other Plans | $567 | 126% |
| Ahp Senior | $567 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $567 | 126% |
| Altamed Connect | $567 | 126% |
| Avanti Mcr Adv - All Other Plans | $567 | 126% |
| Brand New Day Mcare - All Plans | $567 | 126% |
| Bs Va Mcare | $567 | 126% |
| Care First Mcare - All Other Plans | $567 | 126% |
| Clever Care - All Plans | $567 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $567 | 126% |
| Humana | $567 | 126% |
| Lasalle Mg Senior | $567 | 126% |
| Molina Mcare | $567 | 126% |
| Pacific Alliance Mcare - All Other Plans | $567 | 126% |
| Preferred Senior | $567 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $567 | 126% |
| Tricare | $567 | 126% |
| Blue Cross Blue Shield | $590 - $4,037 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $596 | 132% |
| Altamed Medi-Cal - All Other Plans | $648 - $3,240 | 144% |
| Bright Health - All Plans | $653 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $681 | 151% |
| Preferred Commercial - All Other Plans | $681 | 151% |
| Pacific Ipa - All Other Plans | $703 - $3,518 | 156% |
| Intergrated Medical - All Plans | $738 | 164% |
| Medicare (plans) | $738 | 164% |
| Kaiser- All Plans | $759 - $3,795 | 168% |
| Molina Benefit Exchange - All Other Plans | $766 | 170% |
| Cigna | $783 - $3,916 | 174% |
| Healthnet - All Other Plans | $837 - $4,186 | 186% |
| Php-Prospect Health Plan Cap - All Plans | $851 | 189% |
| Healthnet Comm Care | $863 - $4,318 | 191% |
| Healthcare Inc - All Other Plans | $870 - $4,351 | 193% |
| Aetna | $900 - $4,499 | 200% |
| Caremore Mcare - All Plans | $926 - $2,381 | 205% |
| Hcpamg - All Plans | $927 - $3,773 | 206% |
| La Care Mcr Adv - All Plans | $1,018 - $2,000 | 226% |
| Ah Employee Health Plan - All Plans | $1,021 | 227% |
| Western Growers/Pinnacle - All Plans | $1,037 - $5,184 | 230% |
| First Heatlh Ppo - All Plans | $1,074 - $5,369 | 238% |
| Phcs Ppo - All Plans | $1,203 - $6,017 | 267% |
| Scan Health Mcare - All Plans | $1,203 - $3,500 | 267% |
| Centivo - All Plans | $1,277 | 283% |
| Ahf - All Plans | $1,388 - $6,943 | 308% |
| Beech Street - All Plans | $1,388 - $6,943 | 308% |
| Interplan Ppo - All Plans | $1,388 - $6,943 | 308% |
| Corvel Corp - All Plans | $1,481 - $7,406 | 329% |
| Multiplan Ppo - All Plans | $1,536 - $7,683 | 341% |
| Healthmannet - All Plans | $1,573 - $7,868 | 349% |
| Next Inc Ppo - All Plans | $1,573 - $7,868 | 349% |
| Trpn - All Plans | $1,573 - $7,868 | 349% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 355% |
| Fpn Ppo - All Plans | $1,666 - $8,331 | 370% |
| Access Medi-Cal | $1,851 - $9,257 | 411% |
| Ahp Medi-Cal | $1,851 - $9,257 | 411% |
| Alta Los Angeles Mcal 1/1/19 | $1,851 - $9,257 | 411% |
| Avanti Mcal | $1,851 - $9,257 | 411% |
| Bella Vista Medi-Cal Op/Profee Only | $1,851 - $9,257 | 411% |
| Healthcare Inc Medi-Cal | $1,851 - $9,257 | 411% |
| Lasalle Mg Medi-Cal | $1,851 - $9,257 | 411% |
| Medi-Cal | $1,851 - $9,257 | 411% |
| Molina Medi-Cal | $1,851 - $9,257 | 411% |
| Pacific Alliance Medi-Cal | $1,851 - $9,257 | 411% |
| Pacific Ipa Medi-Cal | $1,851 - $9,257 | 411% |
| Preferred Ipa La Care Mcal Cap | $1,851 - $9,257 | 411% |
| Preferred Medi-Cal | $1,851 - $9,257 | 411% |
| Healthnet Mcal | $2,205 - $11,025 | 489% |
| Fcs Ipa Medi-Cal Op/Profee Only | $2,221 - $11,108 | 493% |
| Preferred Healthy | $2,314 - $11,571 | 513% |
| Assoc Hispanic Physcns Mcal | $2,591 - $12,960 | 575% |
| Healthnet Mcr Adv | $2,832 - $14,163 | 628% |
| Blue Shield Medi-Cal | $4,628 - $23,142 | 1027% |
| Care First Medi-Cal | $6,478 - $32,400 | 1437% |