CMS Price Transparency Data

Blood transfusion

Facility: Shands Jacksonville

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$469

about 1.0× the $451 Medicare rate · typically $199–$774

modeled estimate · not a bill or quote

What this hospital charges insurers

$475

About the fair price

about $6 over the fair price · 1.1× Medicare

Medicare pays $451 Fair price $469 This hospital $475 Cash price $846 Hospital's list price $1,539

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $209 Priciest $475

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $469 (about 1.0× the $451 Medicare rate). Shands Jacksonville charges insurers about $475, or about $846 in cash — about the fair price. Located in Jacksonville, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$479 - $3,044	106%
Blue Cross Blue Shieldmajor	$461 - $3,208	102%
Aetnamajor	$307 - $1,301	68%
Cignamajor	$1,325	294%
Humanamajor	$319 - $1,308	71%
Ambetter (Centene)	$728	162%
AmeriHealth	$348	77%
AvMed	$864	192%
Devoted Health	$484 - $507	107%
Health Net	$646	143%
Molina	$348 - $570	77%
Simply Healthcare	$335	74%
WellCare	$539	120%
+ 21 smaller / regional plans	$319 - $2,138

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 846), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Shands Jacksonville is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Shands Jacksonville

Compare: Blood transfusion at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.