CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Mercy Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,410
Cash Discount Price: $2,820
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Mercy Hospital is $1,410. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,820. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.13x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$2,820

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,410

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: $2,820 (626%)

Insurance Median: $1,410 (313%)

Cash: $2,820 (626% of Medicare)

Ins. Median: $1,410 (313% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 313% of the Medicare baseline (a markup of 213%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$243 - $2,350	54%
Optimum	$243 - $2,350	54%
Avmed	$338 - $1,410	75%
Simply Healthcare Plans	$367 - $2,160	81%
Aetna	$409 - $846	91%
Oscar	$451 - $1,575	100%
Amerihealth Caritas	$479 - $3,251	106%
Corvel Corporation	$483 - $2,763	107%
Careworks (Rockport)	$493 - $2,821	109%
Prime Health	$493 - $2,821	109%
Cigna	$592 - $6,802	131%
Humana	$592 - $959	131%
Health Sun Health Plan	$601 - $2,050	133%
Aids Healthcare	$620 - $3,384	138%
United Ppo	$668	148%
Sunshine State Health Plan	$733	163%
Molina	$761 - $2,702	169%
United	$1,269 - $2,020	282%
Plotkin Health	$1,410	313%
Prime Health Sherriff	$1,410	313%
Medica Healthcare	$1,664 - $2,850	369%
Multiplan	$2,115 - $2,397	469%
Blue Cross Blue Shield	$2,142 - $3,942	475%
Mmm Of Fl (Health Advantage Plan)	$2,250	499%
Evernorth Bh	$2,256	501%

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 $2,820.
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 Mercy 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.