CMS Price Transparency Data
Blood transfusion
Facility: Children's Hosp of Los Angeles
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $43
- Cash Discount Price: $78
- vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Children's Hosp of Los Angeles is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.10x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$43
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: $78 (17%)
Insurance Median: $43 (10%)
Cash: $78 (17% of Medicare)
Ins. Median: $43 (10% 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 |
|---|---|---|
| Embassy - All Others | $5 - $344 | 1% |
| Self-Pay International | $5 - $344 | 1% |
| Accountable Health | $6 - $430 | 1% |
| Adventist Health Physicians | $6 - $1,021 | 1% |
| Alhambra Hospital Medical Center | $6 - $430 | 1% |
| Allied Pacific Ipa | $6 - $430 | 1% |
| Altamed | $6 - $430 | 1% |
| Angeles Ipa | $6 - $430 | 1% |
| Applecare Medical Group | $6 - $430 | 1% |
| Asian Community Medical Group | $6 - $430 | 1% |
| Associated Hispanic Physicians Ipa | $6 - $430 | 1% |
| Avalon Ipa | $6 - $430 | 1% |
| Axminster Medical Group | $6 - $206 | 1% |
| Bella Vista Med Grp | $6 - $430 | 1% |
| Beverly Hospital | $6 - $430 | 1% |
| Blue Cross Blue Shield | $6 - $2,416 | 1% |
| Blue Shield | $6 - $430 | 1% |
| Cal Care Ipa | $6 - $430 | 1% |
| California Pacific Physicians Medical Group | $6 - $430 | 1% |
| Caloptima | $6 - $430 | 1% |
| Care 1St | $6 - $430 | 1% |
| Cencal Health | $6 - $430 | 1% |
| Centinela Valley Ipa | $6 - $430 | 1% |
| Community Care Ipa Mmc | $6 - $430 | 1% |
| Community Family Care Ipa | $6 - $430 | 1% |
| Crown City Medical Group | $6 - $430 | 1% |
| Culinary Health Fund | $6 - $236 | 1% |
| Dignity Health | $6 - $430 | 1% |
| El Proyecto Del Barrio | $6 - $430 | 1% |
| Employee Health Systems Med Grp | $6 - $430 | 1% |
| Exceptional Care Medical Group | $6 - $430 | 1% |
| Facey Medical Group | $6 - $206 | 1% |
| Family Care Specialists | $6 - $430 | 1% |
| Family Health Alliance Med Grp | $6 - $430 | 1% |
| Global Care Medical Group | $6 - $430 | 1% |
| Gold Coast Health Plan | $6 - $430 | 1% |
| Health Care La Ipa | $6 - $430 | 1% |
| Healthy New Life Medical Corp | $6 - $430 | 1% |
| Heritage Provider Network | $6 - $430 | 1% |
| Hispanic Physician Ipa | $6 - $430 | 1% |
| Hollywood Presbyterian Medical Center | $6 - $430 | 1% |
| Imperial Health Holdings Medical Group | $6 - $430 | 1% |
| Inland Empire Health Plan | $6 - $64 | 1% |
| Intl - Aixin Life Insurance Co | $6 - $280 | 1% |
| Intl - Quality Health Management | $6 - $280 | 1% |
| Karing Physicians Medical Group | $6 - $430 | 1% |
| Kern Family Health Plan | $6 - $430 | 1% |
| La Care | $6 - $430 | 1% |
| Los Angeles Medical Center Ipa | $6 - $430 | 1% |
| Mabuhay Medical Group | $6 - $430 | 1% |
| Medi-Cal | $6 - $64 | 1% |
| Medicaid / KanCare | $6 - $430 | 1% |
| Medicare (plans) | $6 - $558 | 1% |
| Molina | $6 - $168 | 1% |
| Noble Community Medical Associates | $6 - $430 | 1% |
| Pacific Alliance Medical Center | $6 - $430 | 1% |
| Preferred Ipa | $6 - $430 | 1% |
| Premier Physicians Ntwk | $6 - $430 | 1% |
| Primary Care And Pediatric Ipa | $6 - $430 | 1% |
| Regent Medical Group | $6 - $430 | 1% |
| San Judas Med Grp | $6 - $430 | 1% |
| Seaside Health Plan | $6 - $430 | 1% |
| Serendib Healthways Mmc | $6 - $430 | 1% |
| Serra Community Med Clinic | $6 - $430 | 1% |
| Souther California Hosp System - Mmc | $6 - $430 | 1% |
| Southern Atlantic Medical Group Mmc | $6 - $430 | 1% |
| Southland San Gabriel Valley Medical Group | $6 - $430 | 1% |
| St Francis Medical Center | $6 - $430 | 1% |
| St. John'S Health Clinic | $6 - $206 | 1% |
| Superior Choice Medical Group | $6 - $430 | 1% |
| UnitedHealthcare | $6 - $335 | 1% |
| Valley Presbyterian Hospital | $6 - $430 | 1% |
| Watts Healthcare Mmc | $6 - $430 | 1% |
| White Memorial Medical Center | $6 - $430 | 1% |
| Health Net | $8 - $538 | 2% |
| Shriners Hospital | $9 - $129 | 2% |
| Beech Street | $12 - $172 | 3% |
| Choc Health Alliance | $12 - $172 | 3% |
| Incentive Health Network | $12 - $172 | 3% |
| Intl - Global Excel Management | $12 - $280 | 3% |
| Non-Contract Payors | $12 - $172 | 3% |
| Cigna | $14 - $201 | 3% |
| Emanate Health Medical Center Mmc | $14 - $194 | 3% |
| Kaiser | $14 - $245 | 3% |
| Accarent Health | $15 - $215 | 3% |
| Citrus Valley Phys Grp | $15 - $280 | 3% |
| Gemcare Ipa | $15 - $215 | 3% |
| Managed Care Systems | $15 - $215 | 3% |
| Mercy Care | $15 - $215 | 3% |
| Pioneer Prov Ntwk | $15 - $215 | 3% |
| Sansum Clinic | $15 - $215 | 3% |
| Staywell Insurance | $15 - $215 | 3% |
| Aetna | $16 - $236 | 4% |
| Book Md | $16 - $224 | 4% |
| Choice Medical Group | $16 - $236 | 4% |
| Community Care | $16 - $236 | 4% |
| Good Samaritan Medical Group | $16 - $228 | 4% |
| Intl - Global Medical Management | $16 - $236 | 4% |
| National Healthcare Solutions | $16 - $236 | 4% |
| Access Medical Group | $18 - $254 | 4% |
| Bright Medical Associates | $18 - $258 | 4% |
| Delta Health Systems | $18 - $258 | 4% |
| Emanate Health Medical Center Commercial | $18 - $258 | 4% |
| Preferred Ipa - Commercial | $18 - $258 | 4% |
| Private Hlthcare System | $18 - $258 | 4% |
| Providence Health Network | $18 - $258 | 4% |
| Sanus Health | $18 - $258 | 4% |
| Self-Pay | $18 - $258 | 4% |
| Seoul Medical Group | $18 - $254 | 4% |
| Ventura County Health Plan | $18 - $258 | 4% |
| Sierra Health And Life Insurance Company | $19 - $269 | 4% |
| Axis Services International | $20 - $280 | 4% |
| Calvo Selectcare | $20 - $280 | 4% |
| Cedar Sinai Med Grp | $20 - $280 | 4% |
| Embassy - Saudi Arabia | $20 - $280 | 4% |
| Intl - Concierge Healthcare Services | $20 - $280 | 4% |
| Intl - Erv Travel Services | $20 - $301 | 4% |
| Intl - Msh China Enterprise Services | $20 - $280 | 4% |
| Lakewood Health Plan | $20 - $280 | 4% |
| Marian Health Services | $20 - $280 | 4% |
| Plotkin Health | $20 - $280 | 4% |
| Prime Health Services | $20 - $280 | 4% |
| Redlands Community Hospital | $20 - $280 | 4% |
| Serra Community Med Clinic - Commercial | $20 - $280 | 4% |
| Star Healthcare Network Commercial | $20 - $280 | 4% |
| Beaver Medical Group | $21 - $301 | 5% |
| Korean American Med Grp | $21 - $301 | 5% |
| Memorialcare Med Foundation | $21 - $301 | 5% |
| Multiplan | $21 - $301 | 5% |
| Primecare Medical Network | $21 - $301 | 5% |
| Embassy - Kuwait | $22 - $322 | 5% |
| Interlink Health Services | $22 - $322 | 5% |
| Prospect Medical Group | $22 - $322 | 5% |
| Champus | $550 | 122% |