CMS Price Transparency Data

Blood transfusion

Facility: Ucf Lake Nona Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $837
Cash Discount Price: $1,675
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Ucf Lake Nona Hospital is $837. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,675. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.86x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.

Cash / Self-Pay

$1,675

Average discount available for prompt cash payment at this facility.

Insurance Median

$837

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: $1,675 (372%)

Insurance Median: $837 (186%)

Cash: $1,675 (372% of Medicare)

Ins. Median: $837 (186% 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
Avmed	$134 - $837	30%
Simply	$258 - $2,250	57%
Oscar	$268 - $1,997	59%
Simply Healthcare	$280 - $1,735	62%
Cigna	$291 - $7,321	65%
Aetna	$332 - $502	74%
Sunshine State Health Plan	$427	95%
Corvel Corporation	$443 - $2,538	98%
Molina Healthcare	$452 - $3,950	100%
Prime Health	$453 - $2,591	101%
Humana	$469	104%
United	$677 - $2,234	150%
Plotkin Health	$837	186%
Prime Health Sheriff	$837	186%
Novanet	$1,507	334%
Blue Cross Blue Shield	$1,826 - $4,876	405%
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 $1,675.
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 Ucf Lake Nona Hospital 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.