CMS Price Transparency Data

Blood transfusion

Facility: Halifax Health Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $642
  • Cash Discount Price: $1,024
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Halifax Health Medical Center is $642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,024. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.42x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$1,024

Average discount available for prompt cash payment at this facility.

Insurance Median
$642

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: $1,024 (227%)
Insurance Median: $642 (142%)
Cash: $1,024 (227% of Medicare)
Ins. Median: $642 (142% 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.

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
Florida Healthcare - Hecn $231 - $511 51%
Blue Cross Blue Shield $263 - $657 58%
Coventry $279 - $944 62%
Hcra $279 62%
Humana $279 - $873 62%
Medicaid / KanCare $279 62%
Molina $279 - $448 62%
UnitedHealthcare $279 - $896 62%
West Volusia $279 62%
Aetna $293 - $899 65%
Independent Living Systems $293 - $461 65%
Simply Healthcare Plans $293 65%
Sunshine State Health Plan $293 - $878 65%
Caresource Network $307 68%
Avmed $310 - $747 69%
County Of Volusia Corrections $338 - $747 75%
A&G Admin $344 - $762 76%
Volusia County Employee $344 - $762 76%
Embs $373 - $1,270 83%
Tricare $400 89%
Oscar $405 - $896 90%
Prime Health Services $405 - $896 90%
Volusia $405 - $1,046 90%
Americas Choice Provider Network $439 - $1,345 97%
Cigna $439 97%
Division Of The Blind $439 97%
Freedom Health $439 97%
Medicare (plans) $439 97%
Optimum Healthcare $439 97%
Sim Plan Pay $439 - $971 97%
Wellcare $439 97%
Devoted Health $456 101%
Longevity $461 102%
Hrgi $472 - $1,046 105%
Plotkin Consulting $472 - $1,046 105%
Clear Spring Health Of Fl $478 106%
Evolutions International $506 - $1,120 112%
Summit America $540 - $1,195 120%
Integrated Health Plan $608 - $1,345 135%
Multiplan $608 - $1,345 135%
Three Rivers $641 - $1,419 142%
Employers Health Network $878 195%
Fhcp $886 197%
Centivo $943 209%
Florida Healthcare $952 211%
Claimdoc $987 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals