CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $742
Cash Discount Price: $1,678
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Fort Walton-Destin Hospital is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,678. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.65x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$1,678

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $1,678 (372%)

Insurance Median: $742 (165%)

Cash: $1,678 (372% of Medicare)

Ins. Median: $742 (165% 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
Oscar	$171 - $2,516	38%
Simply	$202 - $2,250	45%
Simply Healthcare	$219 - $1,735	49%
Cigna	$229 - $40,673	51%
United	$271 - $4,456	60%
Avmed	$315 - $1,055	70%
Sunshine State Health Plan	$335 - $538	74%
Aetna	$385 - $859	85%
Molina Healthcare	$420 - $3,950	93%
Corvel Corporation	$447 - $2,561	99%
Prime Health	$457 - $2,615	101%
Careworks (Rockport Community)	$471 - $2,696	104%
Humana	$499 - $802	111%
Plotkin Health	$657 - $1,055	146%
Prime Health Sheriff	$657 - $1,055	146%
Evolutions Healthcare	$854 - $1,899	189%
Naphcare	$854 - $1,371	189%
Multiplan	$1,024 - $1,793	227%
Evernorth	$1,051 - $1,688	233%
Ppo Next	$1,116 - $1,793	248%
Novanet	$1,182 - $1,899	262%
Beacon Health Options	$1,313 - $2,110	291%
Blue Cross Blue Shield	$2,051 - $3,220	455%
Ultimate Health Plan	$12,500	2773%

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 $1,678.
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 Fort Walton-Destin 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.