CMS Price Transparency Data

Blood transfusion

Facility: Overlook Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$532

about 1.2× the $451 Medicare rate · typically $240–$1,245

modeled estimate · not a bill or quote

What this hospital charges insurers

$507

About the fair price

about $25 under the fair price · 1.1× Medicare

Medicare pays $451 Fair price $532 This hospital $507 Cash price $878 Hospital's list price $4,137

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $80 Priciest $507

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

A fair price for a Blood transfusion is about $532 (about 1.2× the $451 Medicare rate). Overlook Medical Center charges insurers about $507, or about $878 in cash — about the fair price. Located in Summit, NJ.

What each insurance company pays

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

6 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	$1,070	237%
Blue Cross Blue Shieldmajor	$414 - $2,038	92%
Aetnamajor	$496 - $1,439	110%
Cignamajor	$507 - $1,757	112%
Humanamajor	$1,319	293%
Kaiser Permanentemajor	$1,319	293%
Ambetter (Centene)	$507	112%
AmeriHealth	$507 - $1,155	112%
GEHA	$1,070	237%
Harvard Pilgrim	$1,070	237%
Health Net	$921 - $2,038	204%
MagnaCare	$1,199 - $1,916	266%
MVP Health Care	$1,597	354%
Oscar Health	$1,319	293%
Tufts Health Plan	$1,597	354%
UPMC Health Plan	$507	112%
WellCare	$507	112%
+ 72 smaller / regional plans	$38 - $2,398

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

Excludes 23 rental-network / third-party entries (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 878), 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 Overlook Medical Center 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 Overlook Medical Center

Compare: Blood transfusion at other NJ hospitals

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