CMS Price Transparency Data

Blood transfusion

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $357
Cash Discount Price: $770
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.79x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$770

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $770 (171%)

Insurance Median: $357 (79%)

Cash: $770 (171% of Medicare)

Ins. Median: $357 (79% 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
Simply	$28	6%
United Hc	$30 - $1,740	7%
Aetna	$37 - $847	8%
Humana	$38 - $1,001	8%
Blue Cross Blue Shield	$40 - $1,157	9%
Devoted	$40 - $325	9%
Careplus	$42 - $310	9%
Baycare	$43 - $310	10%
Freedom Health	$44	10%
Optimum	$44	10%
Evolutions	$48 - $1,232	11%
Avmed	$56 - $924	12%
Cigna	$57 - $924	13%
Health First	$60 - $847	13%
Multiplan	$64 - $1,232	14%
Molina	$302	67%
Emerging Therapies	$924	205%
UnitedHealthcare	$924	205%
First Health	$1,155	256%

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 $770.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.