CMS Price Transparency Data

Blood transfusion

Facility: Doctors Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$496

about 1.1× the $451 Medicare rate · typically $197–$797

modeled estimate · not a bill or quote

What this hospital charges insurers

$283

Below the fair price — a good deal

about $213 under the fair price · 0.6× Medicare

Medicare pays $451 Fair price $496 This hospital $283 Cash price $851 Hospital's list price $1,309

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $209 Priciest $316

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $496 (about 1.1× the $451 Medicare rate). Doctors Hospital charges insurers about $283, or about $851 in cash — below the fair price — a good deal. Located in Coral Gables, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$280 - $1,309	62%
Blue Cross Blue Shieldmajor	$191 - $848	42%
Aetnamajor	$205 - $1,047	45%
Cignamajor	$210 - $1,047	47%
Humanamajor	$201 - $502	45%
Amerigroup	$267	59%
AmeriHealth	$589	131%
AvMed	$203 - $648	45%
Medica	$493	109%
WellCare	$280	62%
+ 8 smaller / regional plans	$206 - $1,178

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 851), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Doctors Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Doctors Hospital

Compare: Blood transfusion at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.