CMS Price Transparency Data

Blood transfusion

Facility: Oviedo Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $187
Cash Discount Price: $772
vs. Medicare Baseline: 0.41x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Oviedo Medical Center is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.41x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $772 (171%)

Insurance Median: $187 (41%)

Cash: $772 (171% of Medicare)

Ins. Median: $187 (41% 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
Freedom Health	$53 - $1,950	12%
Optimum	$53 - $1,950	12%
Avmed	$59 - $431	13%
Simply	$113 - $2,250	25%
Oscar	$117 - $1,997	26%
Simply Healthcare	$122 - $1,735	27%
Cigna	$127 - $7,321	28%
Aetna	$145 - $259	32%
Humana	$147 - $173	33%
Sunshine State Health Plan	$187 - $220	41%
Florida Health Care Plan	$276 - $325	61%
United	$296 - $2,234	66%
Prime Health	$453 - $2,591	101%
Truli For Health	$1,660	368%
Blue Cross Blue Shield	$1,759 - $5,156	390%
Molina Healthcare	$3,950	876%
Evolutions	$4,121	914%
Ultimate Health Plan	$12,500	2773%

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 $772.
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 Oviedo Medical Center 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.