CMS Price Transparency Data
Blood transfusion
Facility: Monterey Park Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $733
- Cash Discount Price: $1,965
- vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Monterey Park Hospital is $733. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,965. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.63x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,965
Average discount available for prompt cash payment at this facility.
Insurance Median
$733
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: $1,965 (436%)
Insurance Median: $733 (163%)
Cash: $1,965 (436% of Medicare)
Ins. Median: $733 (163% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Associated Hispanic Physicians Ancillary | $38 | 8% |
| Esperanza Medical Group Ipa | $38 | 8% |
| Access Ipa Ancillary | $49 | 11% |
| Molina Medical Centers | $57 | 13% |
| Altamed Health Services Corporation | $196 | 43% |
| Care 1St M Cal | $196 - $5,000 | 43% |
| Crown City Medical Group Inc | $196 | 43% |
| Family Health Alliance Medical Group | $196 - $1,400 | 43% |
| Garfield Medical Center | $196 - $5,000 | 43% |
| Physician Healthways | $196 - $491 | 43% |
| Universal Care M Cal/Advantage Health Network | $196 | 43% |
| Ucla/Impact Cancer | $222 | 49% |
| Blue Shield Of California | $291 - $1,965 | 65% |
| Health Net Medi Cal | $295 - $7,500 | 65% |
| Preferred Ipa | $340 - $709 | 75% |
| Aetna | $344 - $1,431 | 76% |
| Global Care Medical Group Ipa | $393 - $884 | 87% |
| Healthnet/Ehs Capitation | $393 | 87% |
| Veterans Administration | $397 | 88% |
| Applecare Medical Group | $454 | 101% |
| Bella Vista Medical Group | $454 - $590 | 101% |
| Alta Med Health Services Corp | $491 - $12,500 | 109% |
| Hispanic Physicians Ipa Medical Corporation | $491 | 109% |
| Senior Citizens Choice | $503 | 112% |
| Avanti | $511 - $681 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $511 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $511 | 113% |
| Alignment Health Plan | $550 - $754 | 122% |
| Ahmc Healthcare Inc | $558 - $1,965 | 124% |
| Aids Health Foundation | $558 | 124% |
| Allied Physicians | $558 - $851 | 124% |
| Altamed Health Network | $558 | 124% |
| Apa/Aco Inc | $558 | 124% |
| Beverly Hospital | $558 - $624 | 124% |
| Blue Cross Blue Shield | $558 - $1,074 | 124% |
| Brand New Day | $558 - $709 | 124% |
| Cms | $558 | 124% |
| Easy Choice Health Plan | $558 | 124% |
| First Health Senior | $558 | 124% |
| Foundation Health Plan | $558 | 124% |
| Health Net | $558 - $3,000 | 124% |
| Health Net Inc | $558 - $1,988 | 124% |
| Humana | $558 | 124% |
| La Care Health Plan | $558 - $1,081 | 124% |
| Medicare (plans) | $558 - $586 | 124% |
| Scan Health Plan | $558 | 124% |
| Secure Horizons | $558 | 124% |
| UnitedHealthcare | $558 - $1,376 | 124% |
| Ahmc Reciprocity Agreement Senior/Commercial | $567 - $590 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $567 | 126% |
| Emanate Health | $567 - $709 | 126% |
| La Care | $567 | 126% |
| La Care Covered Direct | $567 | 126% |
| Maxi Med Inc/Ipa | $567 | 126% |
| Self-Pay | $567 | 126% |
| Molina Healthcare Medi-Connect | $586 | 130% |
| Allied Physicians Ipa | $590 - $1,100 | 131% |
| Community Health Plan M Cal Joy Ipa | $590 | 131% |
| Pacific Independent Physician Association | $590 - $1,400 | 131% |
| Tenet Reciprocity | $590 - $1,200 | 131% |
| San Miguel Health Plan | $624 | 138% |
| Preferred Health Network | $697 - $1,572 | 155% |
| Healthcare Partners Affiliates Medical Group | $702 | 156% |
| Ahmc Health Epo | $709 | 157% |
| Knox-Keene Act | $709 | 157% |
| Molina Healthcare Of California | $709 | 157% |
| Interplan | $711 - $1,474 | 158% |
| Asi Flex Ppo W/C | $733 - $2,500 | 163% |
| Athens Administrators | $733 | 163% |
| Indemnity W Comp Fee Schedule | $733 | 163% |
| Multiplan | $733 - $1,670 | 163% |
| One Health Plan | $775 - $30,000 | 172% |
| Central Health Plan Of California | $786 - $1,020 | 174% |
| Corvel Corporation | $925 - $40,000 | 205% |
| Universal Care | $1,000 - $1,250 | 222% |
| Cigna | $1,002 | 222% |
| Health Net Of California | $1,175 - $1,690 | 261% |
| Alhambra Community Dialysis Unit Inc | $1,179 - $30,000 | 262% |
| Care 1St Health Plan | $1,179 | 262% |
| Employee Health Systems Medical Group | $1,179 | 262% |
| Greater Los Angeles Dialysis Inc | $1,179 | 262% |
| Choice Care Network | $1,277 - $32,500 | 283% |
| Healthnet | $1,277 - $2,365 | 283% |
| Pacificare | $1,634 - $2,051 | 363% |
| Bce Emergis Corp | $1,670 | 371% |
| Commercial Non Contract | $1,965 | 436% |
| Mri/Ct Greater El Monte Hospital | $1,965 | 436% |
| Mri/Mra/Alhambra Hospital | $1,965 | 436% |
| Mri/Mra/Eladh | $1,965 | 436% |
| One Legacy | $1,965 | 436% |