CMS Price Transparency Data

Blood transfusion

Facility: Jersey Shore University Medical Center

Billing Code: 36430 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$577

about 1.3× the $451 Medicare rate · typically $445–$944

modeled estimate · not a bill or quote

What this hospital charges insurers

$484

Below the fair price — a good deal

about $93 under the fair price · 1.1× Medicare

Medicare pays $451 Fair price $577 This hospital $484 Cash price $484 Hospital's list price $2,420

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 $484

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 $577 (about 1.3× the $451 Medicare rate). Jersey Shore University Medical Center charges insurers about $484, or about $484 in cash — below the fair price — a good deal. Located in Neptune, NJ.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$484 - $2,973	107%
Blue Cross Blue Shieldmajor	$484	107%
Aetnamajor	$402 - $2,178	89%
Cignamajor	$1,936 - $2,314	430%
AmeriHealth	$2,114 - $2,394	469%
Clover Health	$436	97%
WellCare	$484	107%
+ 9 smaller / regional plans	$90 - $2,420

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 484), 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 Jersey Shore University 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 Jersey Shore University Medical Center

Compare: Blood transfusion at other NJ hospitals

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