CMS Price Transparency Data

Blood transfusion

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$453

about 1.0× the $451 Medicare rate · typically $170–$819

modeled estimate · not a bill or quote

What this hospital charges insurers

$439

About the fair price

about $14 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $453 This hospital $439 Cash price $575 Hospital's list price $845

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 $439

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 $453 (about 1.0× the $451 Medicare rate). Baptist Health Medical Center - Jacksonville charges insurers about $439, or about $575 in cash — about the fair price. Located in Jacksonville, 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	$203 - $443	45%
Blue Cross Blue Shieldmajor	$245 - $26,530	54%
Aetnamajor	$194 - $676	43%
Cignamajor	$330 - $515	73%
Humanamajor	$290 - $319	64%
Ambetter (Centene)	$1,049 - $1,053	233%
Amerigroup	$290	64%
AmeriHealth	$319	71%
AvMed	$270 - $439	60%
CareSource	$290 - $549	64%
Devoted Health	$463 - $465	103%
Health Net	$465	103%
Molina	$345	77%
Simply Healthcare	$304 - $348	67%
UPMC Health Plan	$481 - $483	107%
+ 20 smaller / regional plans	$127 - $983

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (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 575), 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 Baptist Health Medical Center - Jacksonville 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 Baptist Health Medical Center - Jacksonville

Compare: Blood transfusion at other FL hospitals

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