CMS Price Transparency Data

Blood transfusion

Facility: Bethesda Hospital East

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$479

about 1.1× the $451 Medicare rate · typically $204–$1,021

modeled estimate · not a bill or quote

What this hospital charges insurers

$461

About the fair price

about $18 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $479 This hospital $461 Cash price $851 Hospital's list price $1,309

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 $461

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 $479 (about 1.1× the $451 Medicare rate). Bethesda Hospital East charges insurers about $461, or about $851 in cash — about the fair price. Located in Boynton Beach, 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	$184 - $1,309	41%
Blue Cross Blue Shieldmajor	$184 - $1,309	41%
Aetnamajor	$205 - $699	45%
Cignamajor	$210 - $484	47%
Humanamajor	$192 - $479	43%
Amerigroup	$275	61%
AmeriHealth	$589	131%
AvMed	$203 - $647	45%
Medica	$184 - $461	41%
WellCare	$275	61%
+ 8 smaller / regional plans	$184 - $1,178

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 851), 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 Bethesda Hospital East 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 Bethesda Hospital East

Compare: Blood transfusion at other FL hospitals

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