CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Putnam Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $334
Cash Discount Price: $858
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Putnam Hospital is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $858. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.74x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$858

Average discount available for prompt cash payment at this facility.

Insurance Median

$334

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: $858 (190%)

Insurance Median: $334 (74%)

Cash: $858 (190% of Medicare)

Ins. Median: $334 (74% 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
Cigna	$33 - $10,061	7%
Avmed	$61 - $602	14%
Oscar	$61 - $2,264	14%
Simply Healthcare	$65 - $1,394	14%
Aetna	$75 - $361	17%
Simply	$79 - $2,250	18%
Humana	$87 - $205	19%
Sunshine State Health Plan	$130 - $307	29%
Molina Healthcare	$164 - $3,950	36%
United	$168 - $4,970	37%
Plotkin Health	$256 - $602	57%
Prime Health Sheriff	$256 - $602	57%
Multiplan	$399 - $1,024	89%
Corvel Corporation	$417 - $2,384	93%
Prime Health	$425 - $2,435	94%
Careworks (Rockport Community)	$438 - $2,510	97%
Blue Cross Blue Shield	$2,075 - $3,069	460%
Evolutions	$4,121	914%
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 $858.
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 Putnam 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.