CMS Price Transparency Data

Blood transfusion

Facility: Bellevue Hospital Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $677
  • Cash Discount Price: $502
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Bellevue Hospital Center is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.50x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$502

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: $502 (111%)
Insurance Median: $677 (150%)
Cash: $502 (111% 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 $43 - $1,523 10%
Blue Cross Blue Shield $49 - $1,748 11%
Centerlight $49 - $517 11%
Elderplan $49 - $517 11%
Emblem $49 - $914 11%
Fidelis $49 - $1,523 11%
Local 1199 $50 - $1,156 11%
Wellcare $50 - $542 11%
Centers Plan For Healthy Living $51 - $538 11%
Hamaspik $52 12%
Oscar $61 - $776 14%
Vaccn $517 115%
Vnsny $517 - $690 115%
Oxford $543 - $1,736 120%
United $543 - $2,144 120%
Metroplus $567 - $1,523 126%
Amidacare $677 150%
Carelon $677 - $884 150%
Senior Whole Health $677 150%
United Behavioral Health $677 - $745 150%
Carelon (Amida Care) $690 153%
Villagecare Max $753 167%
Cigna $1,020 226%
Magnacare $1,020 226%
Multiplan $1,088 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals