CMS Price Transparency Data

Blood transfusion

Facility: Queens Hospital Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $673
  • Cash Discount Price: $502
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Queens Hospital Center is $673. 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 1.49x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$502

Average discount available for prompt cash payment at this facility.

Insurance Median
$673

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: $673 (149%)
Cash: $502 (111% of Medicare)
Ins. Median: $673 (149% 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 - $1,514 6%
Aetna $38 - $1,626 8%
Affinity $44 - $1,514 10%
Blue Cross Blue Shield $50 - $1,752 11%
Centerlight $50 - $680 11%
Elderplan $50 - $517 11%
Emblem $50 - $908 11%
Fidelis $50 - $1,514 11%
Local 1199 $50 - $1,156 11%
Wellcare $51 - $54 11%
Centers Plan For Healthy Living $52 - $538 12%
Hamaspik $53 12%
Oscar $63 - $776 14%
Vaccn $517 115%
Vnsny $517 - $686 115%
Metroplus $614 - $1,514 136%
Amidacare $673 149%
Carelon $673 - $884 149%
Senior Whole Health $673 149%
United $673 - $2,144 149%
United Behavioral Health $673 - $740 149%
Carelon (Amida Care) $686 152%
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: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals