CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,942
Cash Discount Price: $4,298
vs. Medicare Baseline: 4.31x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Memorial Hospital is $1,942. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,298. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.31x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$4,298

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,942

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: $4,298 (954%)

Insurance Median: $1,942 (431%)

Cash: $4,298 (954% of Medicare)

Ins. Median: $1,942 (431% 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 431% of the Medicare baseline (a markup of 331%). 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
Optimum Healthcare	$361 - $1,950	80%
City Of Jacksonville	$443 - $2,534	98%
Corvel Corporation	$443 - $2,534	98%
Prime Health	$452 - $2,587	100%
Blue Cross Blue Shield	$456 - $3,083	101%
Avmed	$516 - $1,203	114%
Simply Healthcare	$546 - $2,250	121%
United	$550 - $3,016	122%
Oscar	$688 - $2,284	153%
Aetna	$739 - $1,289	164%
Positive Healthcare	$946 - $2,450	210%
Cigna	$1,027 - $14,306	228%
Sunshine State Health Plan	$1,096	243%
Molina Healthcare	$1,160 - $2,702	257%
Centurion	$1,190 - $7,512	264%
Humana	$1,246	276%
Corizon	$1,289 - $5,516	286%
Plotkin Health	$2,149	477%
Multiplan	$3,352 - $3,653	744%
Evernorth	$3,438	763%
Evolutions Healthcare	$3,438 - $3,653	763%
Ppo Next	$3,653	810%
Novanet	$3,868	858%

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 $4,298.
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 Memorial 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.