CMS Price Transparency Data

Blood transfusion

Facility: HCA Florida South Shore Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $449
  • Cash Discount Price: $1,616
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at HCA Florida South Shore Hospital is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,616. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.00x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$1,616

Average discount available for prompt cash payment at this facility.

Insurance Median
$449

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: $1,616 (359%)
Insurance Median: $449 (100%)
Cash: $1,616 (359% of Medicare)
Ins. Median: $449 (100% 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.

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 $75 - $1,638 17%
Access 2 Healthcare Physicians Freedom Health $116 - $1,950 26%
Access 2 Healthcare Physicians Optimum $116 - $1,950 26%
Freedom Health Care $125 - $1,950 28%
Optimum Healthcare $125 - $1,950 28%
Avmed $128 - $408 28%
Simply Healthcare $204 - $2,250 45%
Oscar $241 - $2,660 53%
Aetna $255 - $489 57%
United $263 - $2,564 58%
Cigna $289 - $7,480 64%
Evolutions Healthcare Systems $369 - $1,501 82%
Sunshine State Health Plan $410 - $416 91%
Corvel Corporation $449 - $2,572 100%
Rockport Healthcare Group $449 - $2,572 100%
Humana $450 - $457 100%
Prime Health $459 - $2,626 102%
Plotkin Health $803 - $816 178%
Prime Health Sheriff $803 - $816 178%
Multiplan $1,205 - $1,387 267%
Blue Cross Blue Shield $1,669 - $5,223 370%
Truli $1,669 - $2,139 370%
Molina $1,950 - $2,702 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals