CMS Price Transparency Data

Blood transfusion

Facility: Ascension St Vincent's Clay County

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$473

about 1.0× the $451 Medicare rate · typically $229–$777

modeled estimate · not a bill or quote

What this hospital charges insurers

$549

Above the fair price

about $76 over the fair price · 1.2× Medicare

Medicare pays $451 Fair price $473 This hospital $549 Cash price $310 Hospital's list price $838

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $209 Priciest $549

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

A fair price for a Blood transfusion is about $473 (about 1.0× the $451 Medicare rate). Ascension St Vincent's Clay County charges insurers about $549, or about $310 in cash — above the fair price. Located in Middleburg, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $473. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$443	98%
Blue Cross Blue Shieldmajor	$439	97%
Aetnamajor	$439 - $900	97%
Cignamajor	$443 - $448	98%
Humanamajor	$426 - $443	95%
Ambetter (Centene)	$834	185%
AvMed	$790	175%
Bright Health	$592 - $636	131%
Molina	$812	180%
Oscar Health	$702	156%
WellCare	$439	97%
+ 10 smaller / regional plans	$439 - $1,549

Government programs also on file: Medicare, Military & VA.

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 310), 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 Ascension St Vincent's Clay County 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 Ascension St Vincent's Clay County

Compare: Blood transfusion at other FL hospitals

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