CMS Price Transparency Data

Blood transfusion

Facility: Larkin Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $439
  • Cash Discount Price: $574
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Larkin Community Hospital is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $574. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.97x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$574

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

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: $574 (127%)
Insurance Median: $439 (97%)
Cash: $574 (127% of Medicare)
Ins. Median: $439 (97% 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
Star Network-All Plans $62 - $338 14%
Global Excel-All Plans $93 - $506 21%
Haa Preferred Partners-All Plans $93 - $506 21%
Medicare (plans) $108 - $886 24%
Corvel Mcare Workers Comp-All Plans $140 - $760 31%
Healthsun-All Plans $147 - $802 33%
Aetna $155 - $844 34%
Avmed-All Plans $155 - $844 34%
Careplus Health-All Other Plans $155 - $844 34%
Centurion-All Plans $155 - $844 34%
Coventry Comml-All Plans $155 - $844 34%
Doctors Healthcare-All Plans $155 - $844 34%
First Med Hp Of Fl-All Plans $155 - $844 34%
Humana $155 - $844 34%
Bright Health-All Other Plans $186 - $1,013 41%
United Prop Casualty-All Plans $200 - $800 44%
UnitedHealthcare $200 - $748 44%
Medicaid / KanCare $203 - $304 45%
Cigna $205 - $211 45%
Corvel Mcaid Workers Comp $261 58%
Sunshine Behavioral $261 58%
Ambetter / Centene $290 64%
Community Care Phks Mcaid-All Other Plans $290 64%
Florida Comm Care Mcaid $290 64%
Magellan Complete Care $290 64%
Molina Exch Marketplace-All Other Plans $290 64%
Oscar Health-All Plans $310 - $1,688 69%
Blue Cross Blue Shield $417 - $3,694 93%
Florida Comm Care Mcare-All Other Plans $439 97%
Ops Maritime-All Plans $439 97%
Opus Hospice Ip Only-All Plans $439 97%
Preferred Care Partners Mcare-All Plans $439 97%
Jmh Health Plan Hmo/Ppo-All Other Plans $451 - $750 100%
Clear Springs Hlth-All Plans $461 102%
Unicare Simply Mcare Ppo-All Plans $461 102%
Wellpath-All Plans $483 107%
Fci-All Plans $505 112%
Allianz (Azga)-All Plans $570 126%
Florida Health Solution/Hmo-All Plans $820 - $1,000 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals