CMS Price Transparency Data

Blood transfusion

Facility: Montefiore Mount Vernon Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$534

about 1.2× the $451 Medicare rate · typically $136–$1,242

modeled estimate · not a bill or quote

What this hospital charges insurers

$551

About the fair price

about $17 over the fair price · 1.2× Medicare

Medicare pays $451 Fair price $534 This hospital $551 Cash price $916 Hospital's list price $1,409

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $75 Priciest $551

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

A fair price for a Blood transfusion is about $534 (about 1.2× the $451 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $551, or about $916 in cash — about the fair price. Located in Mount Vernon, NY.

What each insurance company pays

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

5 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	$38 - $4,202	8%
Blue Cross Blue Shieldmajor	$551 - $6,702	122%
Aetnamajor	$139 - $4,051	31%
Cignamajor	$753 - $842	167%
Humanamajor	$606	134%
Fidelis Care	$8 - $551	2%
Molina	$760	169%
MVP Health Care	$958	213%
Oscar Health	$1,078 - $7,276	239%
SelectHealth	$9	2%
WellCare	$8 - $562	2%
+ 12 smaller / regional plans	$8 - $18,107

Government programs also on file: Medicaid.

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 916), 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 Montefiore Mount Vernon Hospital 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 Montefiore Mount Vernon Hospital

Compare: Blood transfusion at other NY hospitals

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