CMS Price Transparency Data
Blood transfusion
Facility: Scripps Green Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $455
- Cash Discount Price: $254
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Scripps Green Hospital is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 10666 North Torrey Pines Road, La Jolla, CA.
Cash / Self-Pay
$254
Average discount available for prompt cash payment at this facility.
Insurance Median
$455
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: $254 (56%)
Insurance Median: $455 (101%)
Cash: $254 (56% of Medicare)
Ins. Median: $455 (101% 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 |
|---|---|---|
| Radys Cpmg [803] | $54 - $108 | 12% |
| Aetna | $56 - $682 | 12% |
| UnitedHealthcare | $56 - $596 | 12% |
| Blue Cross Blue Shield | $122 - $567 | 27% |
| Cigna | $122 - $567 | 27% |
| Mc Alignment [917] | $122 - $244 | 27% |
| Mc Blue Shield Promise Health Plan [914] | $122 - $244 | 27% |
| Mc Blue Shield [902] | $122 - $244 | 27% |
| Mc Health Net [904] | $122 - $244 | 27% |
| Mc Scan [905] | $122 - $244 | 27% |
| Mc United [906] | $122 - $244 | 27% |
| Bc [814] | $150 - $299 | 33% |
| Imperial County Phys Med Group [855] | $150 - $462 | 33% |
| Integrated Health Partners [894] | $150 - $299 | 33% |
| Perlman Med Group [899] | $150 - $299 | 33% |
| Sharp Comm Med Grp [812] | $150 - $615 | 33% |
| Sharp Rees Stealy Med Grp [811] | $150 - $615 | 33% |
| Ucsd [807] | $150 - $615 | 33% |
| Centivo [581] | $156 - $311 | 35% |
| Blue Shield [230] | $224 - $485 | 50% |
| Health Net [340] | $228 - $1,419 | 51% |
| Hn [815] | $228 - $455 | 51% |
| Bs [816] | $232 - $481 | 51% |
| Uh [819] | $238 - $474 | 53% |
| Rady Children'S Hospital [825] | $279 - $555 | 62% |
| Palomar Health [892] | $309 - $615 | 69% |
| Veba Med Grp [813] | $309 - $615 | 69% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $370 - $736 | 82% |
| Kaiser [380] | $370 - $736 | 82% |
| Kaiser [383] | $370 - $736 | 82% |
| Multi Plan Network [470] | $483 - $961 | 107% |
| First Health Network [330] | $510 - $1,015 | 113% |
| Pnoa [615] | $510 - $1,015 | 113% |
| Choice Care Network [270] | $544 - $1,083 | 121% |
| Healthsmart [350] | $544 - $1,083 | 121% |
| Astiva Mcr Adv [464] | $567 | 126% |
| Bc Mcr Adv [830] | $567 | 126% |
| Bs Mcr Adv [829] | $567 | 126% |
| Central Health Mcr Adv [441] | $567 | 126% |
| Clever Care Mcr Adv [465] | $567 | 126% |
| D-Snp Mcr Adv [889] | $567 | 126% |
| Dsnp/Csnp - Generic [458] | $567 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $567 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $567 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $567 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $567 | 126% |
| Hn Mcr Adv [832] | $567 | 126% |
| Humana | $567 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $567 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $567 | 126% |
| La Care Mcr Adv Hmo [612] | $567 | 126% |
| Medicare (plans) | $567 | 126% |
| Mpmg Mcr Adv [836] | $567 | 126% |
| Mpmg [800] | $567 | 126% |
| Ocn Mcr Adv [890] | $567 | 126% |
| San Diego Pace Medi-Cal [553] | $567 | 126% |
| Scan Mcr Adv [835] | $567 | 126% |
| Scan [500] | $567 | 126% |
| Scan [818] | $567 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $567 | 126% |
| Sharp Health Plan Mcr Adv [531] | $567 | 126% |
| Sharp Health Plan Mcr Adv [897] | $567 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $567 | 126% |
| St Paul'S Pace Medi-Cal [551] | $567 | 126% |
| Ucsd Mcr Adv [873] | $567 | 126% |
| Uh Mcr Adv [831] | $567 | 126% |
| Uh Palomar Health Mcr Adv [885] | $567 | 126% |
| Alignment Health Plan [443] | $584 | 130% |
| Prime Healthcare [614] | $965 | 214% |
| Prospect Med Group [893] | $993 | 220% |