CMS Price Transparency Data

Blood transfusion

Facility: Baptist Medical Center Beaches

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$488

about 1.1× the $451 Medicare rate · typically $220–$785

modeled estimate · not a bill or quote

What this hospital charges insurers

$439

Below the fair price — a good deal

about $49 under the fair price · 1.0× Medicare

Medicare pays $451 Fair price $488 This hospital $439 Cash price $524 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 $488 (about 1.1× the $451 Medicare rate). Baptist Medical Center Beaches charges insurers about $439, or about $524 in cash — below the fair price — a good deal. Located in Jacksonville Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $23,793	54%
Aetnamajor	$194 - $676	43%
Cignamajor	$355 - $515	79%
Ambetter (Centene)	$1,053	234%
Amerigroup	$290	64%
AmeriHealth	$319	71%
AvMed	$270 - $431	60%
CareSource	$549	122%
Devoted Health	$465	103%
Molina	$345	77%
Simply Healthcare	$304 - $348	67%
UPMC Health Plan	$483	107%
+ 16 smaller / regional plans	$290 - $718

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 524), 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 Medical Center Beaches 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 Medical Center Beaches

Compare: Blood transfusion at other FL hospitals

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