CMS Price Transparency Data
Blood transfusion
Facility: Anaheim Global Medical Center
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $1,824
- Cash Discount Price: $2,632
- vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Anaheim Global Medical Center is $1,824. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,632. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.05x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$2,632
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,824
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: $2,632 (584%)
Insurance Median: $1,824 (405%)
Cash: $2,632 (584% of Medicare)
Ins. Median: $1,824 (405% 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 405% of the Medicare baseline (a markup of 305%). 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.
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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 |
|---|---|---|
| Monarch Health Plan | $236 - $1,520 | 52% |
| UnitedHealthcare | $408 - $4,571 | 91% |
| Altamed Health Services | $536 - $4,571 | 119% |
| Champus | $545 - $4,604 | 121% |
| Aetna | $565 - $4,571 | 125% |
| Altamed | $565 - $15,000 | 125% |
| Astiva | $565 - $4,571 | 125% |
| Blue Shield Of California | $565 - $17,414 | 125% |
| California Health Plan | $565 - $4,571 | 125% |
| Caloptima | $565 - $4,571 | 125% |
| Central Health Plan Of California Inc | $565 - $4,571 | 125% |
| Champion Health Plan | $565 - $4,571 | 125% |
| Citizens Choice | $565 - $4,571 | 125% |
| Clever Care Health Plan | $565 - $4,571 | 125% |
| Easy Choice | $565 - $4,571 | 125% |
| For Your Benefit | $565 - $4,571 | 125% |
| Health Net Inc | $565 - $4,571 | 125% |
| Healthcare Partners Sr Hmo | $565 - $4,571 | 125% |
| Heritage Provider Network | $565 - $4,571 | 125% |
| Hollywood Presbyerian | $565 - $4,571 | 125% |
| Humana | $565 - $4,571 | 125% |
| Kaiser | $565 - $4,571 | 125% |
| Medicare (plans) | $565 - $4,571 | 125% |
| Monarch | $565 - $4,571 | 125% |
| Onecare | $565 - $4,571 | 125% |
| Other Sr Non Contract | $565 - $4,571 | 125% |
| Physicians For Healthy Hospitals | $565 - $4,571 | 125% |
| Prospect Health Plan | $565 - $6,856 | 125% |
| Scan | $565 - $4,571 | 125% |
| St Joseph Hospital Sr | $565 - $4,571 | 125% |
| Us Federal Marshall/Department Of Immigration | $565 - $4,571 | 125% |
| Velocity National Provider Network Sr | $565 - $4,571 | 125% |
| Verda Health Plan | $565 - $4,571 | 125% |
| Veterans Administration | $565 - $4,571 | 125% |
| Choice Physicians Network | $567 - $4,571 | 126% |
| Imperial Health Plan Of Ca | $567 - $4,571 | 126% |
| Innovative Integrated Health | $567 - $4,571 | 126% |
| Medcare Partners Health Plan | $567 - $4,571 | 126% |
| Self Pay/Ab774/Cbo Use Only | $567 - $4,571 | 126% |
| Us Dept Of Labor | $567 - $4,571 | 126% |
| Victim Of Violent Crime | $567 - $4,571 | 126% |
| Victim Of Violent Crime (Mep) | $567 - $4,571 | 126% |
| Victoria Hospice | $567 - $4,571 | 126% |
| Healthcare Partners Hmo | $613 - $4,937 | 136% |
| Align Sr Care | $632 - $5,119 | 140% |
| Brand New Day | $632 - $5,714 | 140% |
| Prime Health Services | $649 - $5,256 | 144% |
| Ihhi Reciprocity | $667 - $1,200 | 148% |
| Coventry Health | $679 - $706 | 151% |
| Interplan | $687 - $2,280 | 152% |
| County Of Orange | $706 - $5,713 | 157% |
| Veterans Evaluation Services | $709 - $5,714 | 157% |
| Multiplan | $740 - $35,000 | 164% |
| Three Rivers Network | $740 - $7,999 | 164% |
| State Of California | $755 - $50,000 | 168% |
| Velocity National Provider Network Wc | $755 | 168% |
| Altamed Mcal Hmo (Ancillary) | $778 - $1,064 | 173% |
| Staywell/Island Home Ins | $794 - $6,399 | 176% |
| Naphcare | $880 - $7,085 | 195% |
| Health Net | $973 - $7,880 | 216% |
| Velocity National Provider Network Ppo | $993 - $7,999 | 220% |
| Velocity National Provider Network Auto Med Ppo | $1,001 - $1,368 | 222% |
| Cigna | $1,152 - $3,954 | 256% |
| First Health | $1,168 - $1,596 | 259% |
| Magellan Behavioral Health | $1,334 - $1,824 | 296% |
| Primecare Medical Network Inc | $1,334 - $1,824 | 296% |
| Networks By Design | $1,557 - $2,128 | 345% |
| Healthsmart Preferred Network | $1,668 - $37,500 | 370% |
| Provider Network Of America | $1,779 - $2,432 | 395% |
| Ahmc Healthcare | $2,224 - $3,040 | 493% |
| Lucet Bh Scan Sr | $2,224 - $3,040 | 493% |
| Managed Health Network | $2,224 - $3,040 | 493% |
| Other Insurance Loa | $2,224 - $3,040 | 493% |
| Other Non Contracted Plans | $2,224 - $3,040 | 493% |
| Private Pay | $2,224 - $3,040 | 493% |
| Usbhpc | $2,224 - $3,040 | 493% |