Blood transfusion
Facility: Whittier Hospital Medical Center
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $3,502
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 7.77x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 777% of the Medicare baseline (a markup of 677%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Applecare Medical Group | $67 | 15% |
| Blue Shield Of California | $567 | 126% |
| Beverly Hospital | $624 - $3,502 | 138% |
| Ahmc Health | $709 | 157% |
| Knox-Keene Act | $709 | 157% |
| Fmc Los Angeles County | $717 | 159% |
| Interplan Health Group | $732 | 162% |
| Athens Administrators Ahmc Work Comp | $755 | 168% |
| Misc 1 | $755 | 168% |
| Multiplan Wc | $755 | 168% |
| Blue Cross Blue Shield | $1,024 - $3,593 | 227% |
| Central Health Plan Of California | $1,200 | 266% |
| Capnet | $2,000 | 444% |
| Care 1St Health Plan | $2,100 - $4,500 | 466% |
| Great-West Healthcare Of California | $2,500 | 555% |
| Prohealth | $2,500 | 555% |
| Veterans Administration | $2,500 | 555% |
| Aetna | $3,502 - $5,078 | 777% |
| Aids Healthcare Foundation | $3,502 | 777% |
| Alta Los Angeles Hospitals Inc | $3,502 | 777% |
| Alta Med Health Network | $3,502 | 777% |
| Apa/Aco Inc | $3,502 | 777% |
| Avanti | $3,502 - $4,285 | 777% |
| Brand New Day | $3,502 - $4,377 | 777% |
| Caloptima | $3,502 | 777% |
| Central Health Plan | $3,502 | 777% |
| Easy Choice Health Plan | $3,502 | 777% |
| Emanate Health | $3,502 - $4,377 | 777% |
| Health Net | $3,502 | 777% |
| Heritage Provider Network | $3,502 - $4,821 | 777% |
| Humana | $3,502 | 777% |
| Kaiser Foundation | $3,502 - $12,498 | 777% |
| La Care Health Plan | $3,502 | 777% |
| Medicare (plans) | $3,502 - $3,677 | 777% |
| Pacificare Of California | $3,502 | 777% |
| Prospect Health Plan | $3,502 - $5,713 | 777% |
| Scan Health Plan | $3,502 | 777% |
| Caremore | $3,571 | 792% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $3,571 | 792% |
| La Care Covered Direct | $3,571 | 792% |
| Pacific Alliance Medical Center | $3,571 | 792% |
| Private Pay | $3,571 | 792% |
| Self-Pay | $3,571 | 792% |
| Synermed | $3,571 | 792% |
| Alignment Health Plan | $3,677 | 816% |
| Molina Healthcare Of California | $3,677 | 816% |
| San Miguel Health Plan | $3,928 | 871% |
| Chinatown Service Center Pace | $4,285 | 951% |
| Molina Medical Center | $4,464 | 990% |
| Tricare | $4,796 | 1064% |
| Health Net Inc | $8,756 - $9,174 | 1943% |
| Healthnet | $10,716 | 2377% |
| Cost Containment | $32,500 | 7211% |
| Universal Care | $35,000 | 7765% |