CMS Price Transparency Data

Blood transfusion

Facility: St Charles Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$560

about 1.2× the $451 Medicare rate · typically $146–$1,216

modeled estimate · not a bill or quote

What this hospital charges insurers

$517

About the fair price

about $43 under the fair price · 1.1× Medicare

Medicare pays $451 Fair price $560 This hospital $517 Hospital's list price $3,363

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $517

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $560 (about 1.2× the $451 Medicare rate). St Charles Hospital charges insurers about $517 — about the fair price. Located in Port Jefferson, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$8 - $3,488	2%
Blue Cross Blue Shieldmajor	$507 - $3,488	112%
Aetnamajor	$517 - $4,663	115%
Cignamajor	$2,186 - $3,353	485%
Humanamajor	$528	117%
AmeriHealth	$5,148	1142%
Cigna HealthSpring	$517	115%
Fidelis Care	$8 - $517	2%
Independent Health	$8 - $517	2%
MVP Health Care	$8 - $3,353	2%
Oscar Health	$1,379	306%
UniCare	$2,186	485%
WellCare	$569	126%
+ 44 smaller / regional plans	$8 - $5,269

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Charles Hospital

Compare: Blood transfusion at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.