CMS Price Transparency Data

Blood transfusion

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $567
Cash Discount Price: $324
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Martin Luther King, Jr. Community Hospital is $567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $324. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.26x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$324

Average discount available for prompt cash payment at this facility.

Insurance Median

$567

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: $324 (72%)

Insurance Median: $567 (126%)

Cash: $324 (72% of Medicare)

Ins. Median: $567 (126% 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
Preferred Professional Medical Corporation (Ipa) Of California	$44 - $340	10%
La Care Health	$255	57%
Health Net	$307 - $643	68%
Alta	$511 - $567	113%
Heritage Provider Network (Hpn)	$539	120%
Brand New Day	$567 - $1,022	126%
Care1St Health	$567	126%
Molina Healthcare	$596 - $709	132%
La Care Health Pasc-Seui	$664	147%
La Care Health Plan	$664	147%
Blue Shield Of California	$698 - $773	155%
UnitedHealthcare	$730	162%
Santa Monica Unite Here	$1,022	227%
Multiplan	$1,362	302%

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 $324.
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 Martin Luther King, Jr. Community 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.