CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Blake Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $900
Cash Discount Price: $2,629
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Blake Hospital is $900. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,629. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.00x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.

Cash / Self-Pay

$2,629

Average discount available for prompt cash payment at this facility.

Insurance Median

$900

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: $2,629 (583%)

Insurance Median: $900 (200%)

Cash: $2,629 (583% of Medicare)

Ins. Median: $900 (200% 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	$96 - $1,638	21%
Access 2 Healthcare Physicians Freedom Health	$147 - $1,950	33%
Access 2 Healthcare Physicians Optimum	$147 - $1,950	33%
Freedom Health Care	$159 - $1,950	35%
Optimum Healthcare	$159 - $1,950	35%
Avmed	$163 - $803	36%
Simply Healthcare	$300 - $1,579	67%
Aetna	$302 - $964	67%
Oscar	$307 - $2,887	68%
United	$335 - $2,564	74%
Cigna	$356 - $8,253	79%
Corvel Corporation	$449 - $2,572	100%
Rockport Healthcare Group	$449 - $2,572	100%
Prime Health	$459 - $2,626	102%
Evolutions Healthcare Systems	$470 - $2,957	104%
Sunshine State Health Plan	$521 - $820	116%
Humana	$572 - $900	127%
Healthcare Sarasota	$1,022 - $1,607	227%
Plotkin Health	$1,022 - $1,607	227%
Prime Health Sheriff	$1,022 - $1,607	227%
Multiplan	$1,533 - $2,732	340%
Molina	$1,950 - $2,702	433%
Truli	$1,952 - $2,408	433%
Blue Cross Blue Shield	$2,069 - $5,263	459%
Behealthy America	$2,550	566%

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 $2,629.
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 Blake 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.