CMS Price Transparency Data

Blood transfusion

Facility: Bartow Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $636
  • Cash Discount Price: $783
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Bartow Regional Medical Center is $636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $783. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.41x the Medicare baseline. Located in 2200 Osprey Blvd, Bartow, FL.
Cash / Self-Pay
$783

Average discount available for prompt cash payment at this facility.

Insurance Median
$636

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: $783 (174%)
Insurance Median: $636 (141%)
Cash: $783 (174% of Medicare)
Ins. Median: $636 (141% 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
Molina $235 - $771 52%
Simply Healthcare $235 - $304 52%
Clear Health Alliance $293 65%
UnitedHealthcare $296 - $2,482 66%
Careplus $298 66%
Humana $302 - $549 67%
Freedom Health $304 67%
Molina Healthcare $304 67%
Sunshine Health $304 67%
Aetna $310 - $1,064 69%
Florida Community Care $319 71%
Blue Cross Blue Shield $383 - $691 85%
Ultimate Health Plan $392 87%
Avmed $405 - $639 90%
Baycareplus $439 97%
Freedom $483 107%
Optimum $483 107%
Solis Health $483 107%
Cigna $505 - $1,135 112%
Health First $505 112%
Wellcare $614 136%
Evolutions $652 - $1,214 145%
Ambetter / Centene $987 - $1,305 219%
First Health $1,109 246%
Multiplan $1,174 260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2200 Osprey Blvd, Bartow, FL 33830
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals