CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Kendall Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $511
Cash Discount Price: $1,021
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Kendall Hospital is $511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,021. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$1,021

Average discount available for prompt cash payment at this facility.

Insurance Median

$511

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: $1,021 (227%)

Insurance Median: $511 (113%)

Cash: $1,021 (227% of Medicare)

Ins. Median: $511 (113% 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
Freedom Health	$88 - $2,350	20%
Optimum	$88 - $2,350	20%
Avmed	$123 - $510	27%
Simply Healthcare Plans	$133 - $2,160	30%
Aetna	$137 - $306	30%
Simply Healthcare	$138 - $1,423	31%
Oscar	$163 - $1,575	36%
Amerihealth Caritas	$174 - $3,251	39%
Cigna	$214 - $6,802	47%
Humana	$214 - $347	47%
Health Sun Health Plan	$217 - $2,050	48%
Aids Healthcare	$225 - $1,225	50%
United Ppo	$242	54%
Sunshine State Health Plan	$265	59%
Molina	$276 - $2,702	61%
United	$459 - $2,020	102%
Corvel Corporation	$483 - $2,763	107%
Careworks (Rockport)	$493 - $2,821	109%
Prime Health	$493 - $2,821	109%
Plotkin Health	$510	113%
Prime Health Sherriff	$510	113%
Medica Healthcare	$592 - $2,850	131%
Multiplan	$766 - $868	170%
Evernorth Bh	$817	181%
Blue Cross Blue Shield	$2,205 - $4,010	489%
Mmm Of Fl (Health Advantage Plan)	$2,250	499%

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 $1,021.
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 Kendall 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.