CMS Price Transparency Data

Blood transfusion

Facility: Long Island Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $414
  • Cash Discount Price: $456
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Long Island Community Hospital is $414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.92x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$456

Average discount available for prompt cash payment at this facility.

Insurance Median
$414

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: $456 (101%)
Insurance Median: $414 (92%)
Cash: $456 (101% of Medicare)
Ins. Median: $414 (92% 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
Local 1199 $207 46%
Magellan $269 60%
Multiplan $269 60%
Oscar Health Exchange $281 62%
Coventry $306 68%
Longevity Health $331 73%
Galaxy $372 83%
Aarp $414 92%
Aetna $414 - $5,394 92%
Beacon Health Options $414 92%
Blue Cross Blue Shield $414 - $3,309 92%
Centerlight $414 92%
Cigna $414 92%
Emblem Ghi $414 92%
Fidelis $414 92%
Humana $414 92%
Integra $414 92%
Medicare (plans) $414 92%
UnitedHealthcare $414 - $2,962 92%
Agewell $428 95%
Elderplan Inc. $455 101%
Wellcare $455 101%
Nexus Nyu $2,666 591%
Empire Mediblue $3,309 734%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals