CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Trinity Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $687
  • Cash Discount Price: $2,447
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Trinity Hospital is $687. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,447. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.52x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$2,447

Average discount available for prompt cash payment at this facility.

Insurance Median
$687

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: $2,447 (543%)
Insurance Median: $687 (152%)
Cash: $2,447 (543% of Medicare)
Ins. Median: $687 (152% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $27 - $1,638 6%
Access 2 Healthcare Physicians Freedom Health $41 - $1,950 9%
Access 2 Healthcare Physicians Optimum $41 - $1,950 9%
Freedom Health Care $45 - $1,950 10%
Optimum Healthcare $45 - $1,950 10%
Avmed $46 - $1,080 10%
Simply Healthcare $73 - $2,250 16%
Aetna $75 - $1,296 17%
Oscar $86 - $2,660 19%
United $94 - $2,564 21%
Cigna $103 - $7,480 23%
Evolutions Healthcare Systems $132 - $3,974 29%
Sunshine State Health Plan $147 - $1,102 33%
Humana $161 - $1,210 36%
Beacon Health Options $287 - $2,160 64%
Plotkin Health $287 - $2,160 64%
Prime Health Sheriff $287 - $2,160 64%
Multiplan $431 - $3,672 96%
Corvel Corporation $449 - $2,572 100%
Rockport Healthcare Group $449 - $2,572 100%
Prime Health $459 - $2,626 102%
Evernorth $460 - $3,456 102%
Blue Cross Blue Shield $1,696 - $5,207 376%
Molina $1,950 - $2,702 433%
Truli $2,147 - $149,248 476%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals