CMS Price Transparency Data

Blood transfusion

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $439
  • Cash Discount Price: $575
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Baptist Health Medical Center - Jacksonville is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $575. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.97x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$575

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

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: $575 (128%)
Insurance Median: $439 (97%)
Cash: $575 (128% of Medicare)
Ins. Median: $439 (97% 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
Non-Contracted $127 28%
Aetna $194 - $676 43%
UnitedHealthcare $203 - $443 45%
Blue Cross Blue Shield $245 - $26,530 54%
Avmed $270 - $439 60%
Amerigroup Of Georgia $290 64%
Caresource Of Georgia $290 - $549 64%
Daniel Memorial $290 64%
Humana $290 - $319 64%
Peach State Health Plan $290 - $549 64%
Simply Healthcare Plans $304 - $348 67%
Simply Healthcare Plans - Cha $304 67%
Amerihealth Caritas $319 71%
Florida Community Care $319 - $461 71%
Sunshine State Health Plan $319 71%
United Community Plan $319 71%
Vivida Health $319 71%
Cigna $330 - $515 73%
Borland Groover $338 75%
Occunet $338 - $422 75%
Molina Healthcare Of Florida $345 77%
Northeast Florida State Hospital $355 - $397 79%
Centivo $372 - $718 83%
Capital Health Plan $389 86%
Innovative Healthware Services $397 88%
Geo Group $422 94%
Community Hospice Of Northeast Florida $437 - $439 97%
Pace $437 - $439 97%
Tomorrow'S Rainbow $437 - $439 97%
Va Ccn $437 - $439 97%
Devoted $463 - $465 103%
Volusia Health Network $465 103%
Watchtower $465 103%
Upmc $481 - $483 107%
Fscj Student Insurance $507 112%
Suddath Company $532 118%
Medicaid / KanCare $549 122%
Uf Health Proton Therapy Institute $592 131%
Phcs $634 - $676 141%
Evolutions Healthcare $760 169%
Multiplan $760 169%
Corvel $828 - $2,614 184%
Coventry Workers Comp $828 184%
Nemours Research $983 218%
Ambetter / Centene $1,049 - $1,053 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals