CMS Price Transparency Data

Blood transfusion

Facility: Sharp Chula Vista Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,577
Cash Discount Price: $3,493
vs. Medicare Baseline: 5.72x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Sharp Chula Vista Medical Center is $2,577. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,493. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 5.72x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$3,493

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,577

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: $3,493 (775%)

Insurance Median: $2,577 (572%)

Cash: $3,493 (775% of Medicare)

Ins. Median: $2,577 (572% 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 572% of the Medicare baseline (a markup of 472%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Interplan	$20 - $3,489	4%
Cigna	$22 - $3,563	5%
Aetna	$31 - $4,941	7%
Blue Cross Blue Shield	$31 - $4,632	7%
Blue Shield	$31 - $4,632	7%
Molina	$122 - $4,140	27%
California Health And Wellness	$135 - $3,802	30%
Kaiser	$135 - $15,436	30%
UnitedHealthcare	$418 - $4,323	93%
Health Net	$439 - $4,941	97%
Community Health Group	$1,016 - $4,323	225%
Managed Health Network	$1,016 - $4,140	225%
Multiplan	$1,016 - $4,941	225%
County Medical Services	$1,183 - $2,803	262%
Humana	$1,255 - $4,169	278%
Medi-Cal	$1,255 - $4,941	278%
Medicare (plans)	$1,289 - $3,169	286%
Indian Health Council	$1,983 - $3,563	440%
Epic Americas	$2,425 - $4,072	538%
San Diego Pace	$2,545 - $3,489	565%
Allianz Global Assistance	$2,958 - $3,380	656%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,493.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.