CMS Price Transparency Data

Blood transfusion

Facility: University Hospital and Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $763
Cash Discount Price: $2,997
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at University Hospital and Medical Center is $763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,997. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.69x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$2,997

Average discount available for prompt cash payment at this facility.

Insurance Median

$763

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: $2,997 (665%)

Insurance Median: $763 (169%)

Cash: $2,997 (665% of Medicare)

Ins. Median: $763 (169% 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	$150 - $2,350	33%
Optimum	$150 - $2,350	33%
Avmed	$226 - $1,709	50%
Simply Healthcare Plans	$226 - $2,160	50%
Simply Healthcare	$235 - $1,423	52%
Aetna	$242 - $1,025	54%
Oscar	$279 - $1,575	62%
Amerihealth Caritas	$296 - $3,251	66%
Cigna	$366 - $6,802	81%
Humana	$366 - $1,162	81%
Health Sun Health Plan	$371 - $2,050	82%
United Ppo	$413 - $810	92%
Sunshine State Health Plan	$460 - $902	102%
Molina	$470 - $2,702	104%
Corvel Corporation	$487 - $2,786	108%
Careworks (Rockport)	$497 - $2,844	110%
Prime Health	$497 - $2,844	110%
United	$784 - $2,020	174%
Plotkin Health	$871 - $1,709	193%
Prime Health Sherriff	$871 - $1,709	193%
Medica Healthcare	$1,010 - $2,750	224%
Multiplan	$1,306 - $2,905	290%
Evernorth Bh	$1,394 - $2,734	309%
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 $2,997.
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 University Hospital and Medical Center 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.