CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida Brandon Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,156
Cash Discount Price: $1,713
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida Brandon Hospital is $1,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,713. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.56x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$1,713

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,156

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: $1,713 (380%)

Insurance Median: $1,156 (256%)

Cash: $1,713 (380% of Medicare)

Ins. Median: $1,156 (256% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$81 - $1,638	18%
Access 2 Healthcare Physicians Freedom Health	$123 - $1,950	27%
Access 2 Healthcare Physicians Optimum	$123 - $1,950	27%
Freedom Health Care	$134 - $1,950	30%
Optimum Healthcare	$134 - $1,950	30%
Avmed	$137 - $428	30%
Simply Healthcare	$218 - $2,250	48%
Oscar	$257 - $2,660	57%
Aetna	$272 - $514	60%
United	$281 - $2,564	62%
Cigna	$308 - $7,480	68%
Evolutions Healthcare Systems	$394 - $1,576	87%
Sunshine State Health Plan	$437	97%
Corvel Corporation	$449 - $2,572	100%
Rockport Healthcare Group	$449 - $2,572	100%
Prime Health	$459 - $2,626	102%
Humana	$480	106%
Beacon Health Options	$856	190%
Plotkin Health	$856	190%
Prime Health Sheriff	$856	190%
Multiplan	$1,285 - $1,456	285%
Evernorth	$1,370	304%
Blue Cross Blue Shield	$1,715 - $5,228	380%
Truli	$1,715	380%
Molina	$1,950 - $2,702	433%

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 $1,713.
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 Brandon 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.