CMS Price Transparency Data

Blood transfusion

Facility: Kings County Hospital Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $677
  • Cash Discount Price: $497
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Kings County Hospital Center is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.50x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$497

Average discount available for prompt cash payment at this facility.

Insurance Median
$677

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: $497 (110%)
Insurance Median: $677 (150%)
Cash: $497 (110% of Medicare)
Ins. Median: $677 (150% 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
Healthfirst $25 - $1,523 6%
Aetna $38 - $1,626 8%
Affinity $45 - $1,523 10%
Local 1199 $50 - $1,156 11%
Blue Cross Blue Shield $51 - $1,739 11%
Centerlight $51 - $680 11%
Elderplan $51 - $517 11%
Emblem $51 - $914 11%
Fidelis $51 - $1,523 11%
Wellcare $52 - $55 12%
Centers Plan For Healthy Living $53 - $538 12%
Hamaspik $53 12%
Oscar $63 - $776 14%
Vaccn $517 115%
Vnsny $517 - $691 115%
Metroplus $619 - $1,523 137%
Amidacare $677 150%
Carelon $677 - $884 150%
Senior Whole Health $677 150%
United $677 - $2,144 150%
United Behavioral Health $677 - $745 150%
Carelon (Amida Care) $691 153%
Cigna $1,020 226%
Magnacare $1,020 226%
Multiplan $1,088 241%
Villagecare Max $1,156 256%
Oxford $1,531 - $1,736 340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals