CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Twin Cities Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $643
Cash Discount Price: $1,522
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Twin Cities Hospital is $643. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,522. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.43x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$1,522

Average discount available for prompt cash payment at this facility.

Insurance Median

$643

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: $1,522 (338%)

Insurance Median: $643 (143%)

Cash: $1,522 (338% of Medicare)

Ins. Median: $643 (143% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Oscar	$152 - $2,516	34%
Simply	$180 - $2,250	40%
Simply Healthcare	$195 - $1,735	43%
Cigna	$203 - $40,673	45%
United	$279 - $4,128	62%
Avmed	$280 - $866	62%
Sunshine State Health Plan	$297 - $441	66%
Aetna	$342 - $705	76%
Molina Healthcare	$373 - $3,950	83%
Humana	$443 - $658	98%
Corvel Corporation	$447 - $2,561	99%
Prime Health	$457 - $2,615	101%
Careworks (Rockport Community)	$471 - $2,696	104%
Plotkin Health	$583 - $866	129%
Prime Health Sheriff	$583 - $866	129%
Evolutions Healthcare	$758 - $1,471	168%
Multiplan	$909 - $1,471	202%
Ppo Next	$991 - $1,471	220%
Novanet	$1,049 - $1,558	233%
Blue Cross Blue Shield	$2,051 - $3,220	455%
Ultimate Health Plan	$12,500	2773%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,522.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.