CMS Price Transparency Data

Blood transfusion

Facility: Huntington Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $838
Cash Discount Price: $1,740
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Huntington Hospital is $838. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,740. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.86x the Medicare baseline. Located in 100 W California Blvd, Pasadena, CA.

Cash / Self-Pay

$1,740

Average discount available for prompt cash payment at this facility.

Insurance Median

$838

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: $1,740 (386%)

Insurance Median: $838 (186%)

Cash: $1,740 (386% of Medicare)

Ins. Median: $838 (186% 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.

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
Aetna	$32	7%
Avanti Hospitals, Llc	$544	121%
California Physiciansæ Service, Dba Blue Shield Of California	$544 - $1,119	121%
Dignity Health	$544	121%
Heritage Provider Network	$544	121%
Humana	$544	121%
Inter Valley Health Plan	$544	121%
Pacific Pace, Llc And Pasadena Hospital Association, Ltd	$544	121%
Prospect Health Plan, Inc.	$544	121%
Universal Care, Inc. D/B/A Brand New Day	$544 - $817	121%
Health Net Of California, Inc.	$561 - $776	124%
L.A. Care Health Plan	$708	157%
Providence St. Joseph Health Network	$1,089	242%
UnitedHealthcare	$1,228 - $1,448	272%
Kaiser Foundation Hospitals On Behalf Of Its Southern California Region	$1,633	362%
Cigna	$3,346 - $3,710	742%

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 $1,740.
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 Huntington Hospital 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.