CMS Price Transparency Data

Blood transfusion

Facility: Jay Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $448
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Jay Hospital is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.99x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $202 (45%)
Insurance Median: $448 (99%)
Cash: $202 (45% of Medicare)
Ins. Median: $448 (99% 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.

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
Wellcare $97 - $296 22%
Aetna $279 - $686 62%
Cha Health Plan $279 62%
Simply Healthcare Healthy Kids $279 62%
Humana $293 - $448 65%
Staywell $293 65%
Sunshine Health $293 65%
Bc Fl $296 66%
UnitedHealthcare $296 - $427 66%
Medicare (plans) $381 85%
Fl Community Care Ltc $457 101%
Hospice Emerald Coast $672 149%
Hospice Regency $672 149%
Hospice Vitas $672 149%
Cigna $746 - $1,345 166%
Private Healthcare $874 194%
Fl Blue $922 - $2,831 205%
First Health $954 212%
Wc Corvel $958 - $1,278 213%
Multiplan $1,197 266%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals