CMS Price Transparency Data

Blood transfusion

Facility: Flushing Hospital Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $556
Cash Discount Price: $1,004
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Flushing Hospital Medical Center is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,004. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.23x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.

Cash / Self-Pay

$1,004

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

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: $1,004 (223%)

Insurance Median: $556 (123%)

Cash: $1,004 (223% of Medicare)

Ins. Median: $556 (123% 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
UnitedHealthcare	$8 - $548	2%
1199 National Benefit Fund	$50	11%
Ghi	$50 - $548	11%
Healthfirst	$466	103%
Aetna	$548	122%
Beacon Health Strategies	$548	122%
Centerlight Healthcare	$548	122%
Empire	$548 - $1,025	122%
Fidelis	$548	122%
Hip	$548 - $1,671	122%
Metroplus	$548 - $603	122%
Humana	$553 - $581	123%
Elderplan	$559	124%
Vns	$559	124%
Wellcare Of Ny	$570	126%
Elderserve Health	$630	140%
Magnacare	$630	140%
Centers Plan For Healthy Living	$658	146%
Emblemhealth	$855	190%
Empire Blue Priority	$871	193%
Hotel Trades Council	$1,912	424%

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 $1,004.
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 Flushing Hospital 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.