CMS Price Transparency Data

Blood transfusion

Facility: Tri-City Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$659

about 1.5× the $451 Medicare rate · typically $285–$758

modeled estimate · not a bill or quote

What this hospital charges insurers

$567

Below the fair price — a good deal

about $92 under the fair price · 1.3× Medicare

Medicare pays $451 Fair price $659 This hospital $567 Cash price $2,036 Hospital's list price $3,393

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $87 Priciest $567

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $659 (about 1.5× the $451 Medicare rate). Tri-City Medical Center charges insurers about $567, or about $2,036 in cash — below the fair price — a good deal. Located in Oceanside, CA.

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	$567 - $1,650	126%
Blue Cross Blue Shieldmajor	$440 - $2,015	98%
Aetnamajor	$567 - $2,375	126%
Cignamajor	$2,511 - $2,677	557%
Humanamajor	$567	126%
Kaiser Permanentemajor	$567	126%
Bright Health	$908	201%
Health Net	$454 - $2,643	101%
Molina	$567 - $766	126%
Providence Health Plan	$794	176%
+ 8 smaller / regional plans	$567 - $2,036

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 2,036), 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 Tri-City 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 Tri-City Medical Center

Compare: Blood transfusion at other CA hospitals

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