CMS Price Transparency Data

Blood transfusion

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $510
  • Cash Discount Price: $577
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Larkin Community Hospital Palm Springs Campus is $510. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $577. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$577

Average discount available for prompt cash payment at this facility.

Insurance Median
$510

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: $577 (128%)
Insurance Median: $510 (113%)
Cash: $577 (128% of Medicare)
Ins. Median: $510 (113% 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
Cigna $206 46%
Humana $247 - $824 55%
Simply Healthcare Mcaid $275 61%
United Mcaid $275 61%
Aetna $290 - $461 64%
Florida Community Care Mcaid-All Plans $290 64%
Miami Childrens Hp Mcaid-All Plans $290 64%
Sunshine Mcaid $290 64%
Wellcare Mcaid $290 64%
UnitedHealthcare $308 - $824 68%
Wellcare Comm (Choice) - All Other Plans $412 91%
Medicare (plans) $438 - $824 97%
Ambetter / Centene $461 102%
Blue Cross Blue Shield $461 - $3,694 102%
Opus Hospice Ip Only - All Plans $461 102%
Clear Springs Health - All Plans $484 107%
Unicare Simply Mcare Ppo - All Plans $484 107%
Bright Health Commercial - All Other Plans $553 123%
Ccs - All Plans $622 138%
Fdc - All Plans $645 143%
Leon Med Center Mcr Adv - All Plans $742 165%
Careplus Health - All Other Plans $824 183%
Centurion Doc - All Plans $824 183%
Doctors Healthcare - All Plans $824 183%
Florida Health Solution/Hmo - All Plans $824 183%
Preferred Care Partners Mcr - All Plans $824 183%
Simply Healthcare Mcr - All Other Plans $824 183%
Naphcare - All Plans $948 210%
Oscar Health-All Plans $1,648 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals