CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida St Petersburg Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $869
Cash Discount Price: $3,746
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida St Petersburg Hospital is $869. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,746. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.93x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$3,746

Average discount available for prompt cash payment at this facility.

Insurance Median

$869

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: $3,746 (831%)

Insurance Median: $869 (193%)

Cash: $3,746 (831% of Medicare)

Ins. Median: $869 (193% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$48 - $1,638	11%
Access 2 Healthcare Physicians Freedom Health	$74 - $1,950	16%
Access 2 Healthcare Physicians Optimum	$74 - $1,950	16%
Freedom Health Care	$80 - $1,950	18%
Optimum Healthcare	$80 - $1,950	18%
Avmed	$82 - $1,686	18%
Suncoast Neighborly Care	$82 - $2,400	18%
Simply Healthcare	$130 - $2,250	29%
Oscar	$153 - $2,660	34%
Aetna	$163 - $2,023	36%
United	$168 - $3,034	37%
Cigna	$184 - $7,480	41%
Evolutions Healthcare Systems	$235 - $6,203	52%
Sunshine State Health Plan	$261 - $1,719	58%
Humana	$286 - $1,888	63%
Corvel Corporation	$449 - $2,572	100%
Rockport Healthcare Group	$449 - $2,572	100%
Prime Health	$459 - $2,626	102%
Plotkin Health	$511 - $3,371	113%
Prime Health Sheriff	$511 - $3,371	113%
Multiplan	$767 - $5,731	170%
Blue Cross Blue Shield	$1,669 - $5,223	370%
Truli	$1,669 - $2,139	370%
Molina	$1,950 - $2,702	433%

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 $3,746.
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 St Petersburg 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.