CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Aventura Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $572
Cash Discount Price: $2,061
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Aventura Hospital is $572. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,061. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.27x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$2,061

Average discount available for prompt cash payment at this facility.

Insurance Median

$572

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: $2,061 (457%)

Insurance Median: $572 (127%)

Cash: $2,061 (457% of Medicare)

Ins. Median: $572 (127% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Freedom Health	$164 - $2,350	36%
Optimum	$164 - $2,350	36%
Avmed	$229 - $1,112	51%
Simply Healthcare Plans	$248 - $2,160	55%
Aetna	$255 - $668	57%
Simply Healthcare	$257 - $1,423	57%
Oscar	$305 - $1,575	68%
Amerihealth Caritas	$324 - $3,251	72%
Cigna	$400 - $6,802	89%
Humana	$400 - $756	89%
Health Sun Health Plan	$406 - $2,050	90%
Aids Healthcare	$419 - $2,670	93%
United Ppo	$452 - $527	100%
Corvel Corporation	$483 - $2,763	107%
Careworks (Rockport)	$493 - $2,821	109%
Prime Health	$493 - $2,821	109%
Sunshine State Health Plan	$496 - $578	110%
Molina	$515 - $2,702	114%
United	$858 - $2,020	190%
Plotkin Health	$953 - $1,112	211%
Prime Health Sherriff	$953 - $1,112	211%
Medica Healthcare	$1,105 - $2,750	245%
Multiplan	$1,430 - $1,891	317%
Evernorth Bh	$1,525 - $1,780	338%
Blue Cross Blue Shield	$2,205 - $4,010	489%
Mmm Of Fl (Health Advantage Plan)	$2,250	499%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,061.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Aventura Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.