CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $491
Cash Discount Price: $1,151
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Gulf Coast Hospital is $491. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,151. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.09x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$1,151

Average discount available for prompt cash payment at this facility.

Insurance Median

$491

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: $1,151 (255%)

Insurance Median: $491 (109%)

Cash: $1,151 (255% of Medicare)

Ins. Median: $491 (109% 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	$131 - $2,516	29%
Aetna	$153 - $388	34%
Simply	$155 - $2,250	34%
Simply Healthcare	$168 - $1,735	37%
Cigna	$175 - $40,673	39%
Avmed	$241 - $647	53%
United	$244 - $4,128	54%
Sunshine State Health Plan	$257 - $330	57%
Molina Healthcare	$322 - $3,950	71%
Humana	$382 - $492	85%
Corvel Corporation	$412 - $2,361	91%
Prime Health	$421 - $2,410	93%
Careworks (Rockport Community)	$434 - $2,485	96%
Plotkin Health	$503 - $647	112%
Prime Health Sheriff	$503 - $647	112%
Evolutions	$553 - $4,240	123%
Multiplan	$785 - $1,101	174%
Ppo Next	$855 - $1,101	190%
Novanet	$905 - $1,165	201%
Blue Cross Blue Shield	$1,998 - $2,687	443%
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 $1,151.
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 Gulf Coast 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.