CMS Price Transparency Data
Blood transfusion
Facility: Holy Cross Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $786
- Cash Discount Price: $3,594
- vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Holy Cross Hospital is $786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,594. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.74x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$3,594
Average discount available for prompt cash payment at this facility.
Insurance Median
$786
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: $3,594 (797%)
Insurance Median: $786 (174%)
Cash: $3,594 (797% of Medicare)
Ins. Median: $786 (174% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Avmed Health Plan | $328 - $848 | 73% |
| Medicaid / KanCare | $393 - $1,310 | 87% |
| Aetna | $451 - $892 | 100% |
| Preferred Care Partners | $451 | 100% |
| Trustbridge | $451 | 100% |
| UnitedHealthcare | $451 - $594 | 100% |
| Blue Cross Blue Shield | $461 - $8,554 | 102% |
| Catholic Hospice | $461 | 102% |
| Medicare (plans) | $461 - $484 | 102% |
| Ryan White Florida Mssrp | $461 | 102% |
| Vitas Healthcare Corp | $461 | 102% |
| Careplus Health Plans | $462 | 103% |
| Cigna | $465 - $616 | 103% |
| Geha | $473 | 105% |
| Solis Health Plans | $484 | 107% |
| First Health | $523 - $769 | 116% |
| Mvp | $616 | 137% |
| Upmc Health Plan | $616 | 137% |
| Bridge Health | $655 | 145% |
| Molina Marketplace | $671 | 149% |
| Community Care Plan | $706 - $1,310 | 157% |
| Memorial Integrated Health | $706 | 157% |
| Connecticare | $769 | 171% |
| Emblem Health | $769 | 171% |
| Oscar | $783 | 174% |
| Allianz Global Assistance | $786 | 174% |
| Axa Assistance Us | $786 | 174% |
| Axis Services | $786 | 174% |
| Cmn Global | $786 | 174% |
| Desjardins Financial Security Life Assurance | $786 | 174% |
| Global Benefits Group | $786 | 174% |
| Global Health Claim Services | $786 | 174% |
| Global Medical Management | $786 | 174% |
| Guardian | $786 | 174% |
| Morgan White Administrators | $786 | 174% |
| National Healthcare Solutions | $786 | 174% |
| Olympus Managed Health Care | $786 | 174% |
| Penfield Care | $786 | 174% |
| Quality Health Management | $786 | 174% |
| Sanus Healthcare | $786 | 174% |
| Ww Concierge Healthcare Service | $786 | 174% |
| Ambetter / Centene | $805 | 179% |
| Sunmed International | $812 | 180% |
| Curative | $852 | 189% |
| International Generic | $852 | 189% |
| Allied Benefit Systems | $892 | 198% |
| Coventry | $892 | 198% |
| Meritain | $892 | 198% |
| Phcs | $917 | 203% |
| Unicare | $917 | 203% |
| Wc Broward County | $933 | 207% |
| Wc Corvel | $933 | 207% |
| Wc Heritage Summit | $953 | 211% |
| Humana | $959 - $1,310 | 213% |
| Centivo | $991 | 220% |
| Multiplan | $1,153 | 256% |
| General Electric | $1,310 | 291% |
| Heartland Hospice | $1,310 | 291% |
| Hospice Vitas | $1,310 | 291% |
| Sunbelt International | $1,310 | 291% |
| Sunshine State Health Plan | $1,310 | 291% |
| Bcn Domestic | $4,606 | 1022% |
| Blue Benefit Administrators Of Massachusetts | $4,606 | 1022% |
| Blue Care Network | $4,606 | 1022% |
| Blue Distinction Transplant | $4,606 | 1022% |
| Blue Shield - Ca | $4,606 | 1022% |
| Blue Shield - Id (Regence) | $4,606 | 1022% |
| Blue Shield - Ny Highmark Northeastern | $4,606 | 1022% |
| Blue Shield - Ny Highmark Western | $4,606 | 1022% |
| Blue Shield - Pa (Highmark) | $4,606 | 1022% |
| Blue Shield - Wa (Regence) | $4,606 | 1022% |
| Health Choices | $4,606 | 1022% |
| Kaiser Domestic | $4,606 | 1022% |
| Pre-Employment | $4,606 | 1022% |
| Wc Domestic | $4,606 | 1022% |