CMS Price Transparency Data

Blood transfusion

Facility: Nassau University Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $517
Cash Discount Price: $1,120
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Nassau University Medical Center is $517. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,120. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.15x the Medicare baseline. Located in 2201 Hempstead Turnpike, East Meadow, NY.

Cash / Self-Pay

$1,120

Average discount available for prompt cash payment at this facility.

Insurance Median

$517

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: $1,120 (248%)

Insurance Median: $517 (115%)

Cash: $1,120 (248% of Medicare)

Ins. Median: $517 (115% 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
Aetna	$41 - $1,282	9%
Humana	$41 - $517	9%
Blue Cross Blue Shield	$43 - $1,600	10%
Molina Healthcare (Fka Affinity)	$43	10%
Centers Plan For Healthy Living	$51 - $517	11%
Fidelis Care	$51 - $554	11%
Emblemhealth	$89 - $491	20%
Healthfirst	$250	55%
Cigna	$400	89%
UnitedHealthcare	$517 - $1,641	115%
Magnacare	$640 - $1,241	142%
1199Seiu National Benefit Funds	$792 - $1,360	176%

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 $1,120.
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 Nassau University 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.