CMS Price Transparency Data

Blood transfusion

Facility: Montefiore St Luke's Cornwall

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$572

about 1.3× the $451 Medicare rate · typically $369–$2,491

modeled estimate · not a bill or quote

What this hospital charges insurers

$559

About the fair price

about $13 under the fair price · 1.2× Medicare

Medicare pays $451 Fair price $572 This hospital $559 Cash price $551 Hospital's list price $1,300

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 $559

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 $572 (about 1.3× the $451 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $559, or about $551 in cash — about the fair price. Located in Newburgh, 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	$551 - $2,851	122%
Blue Cross Blue Shieldmajor	$551 - $3,713	122%
Aetnamajor	$545 - $2,552	121%
Cignamajor	$599 - $666	133%
Humanamajor	$606	134%
CDPHP	$364 - $551	81%
Fidelis Care	$551 - $639	122%
GEHA	$892 - $2,552	198%
MagnaCare	$975 - $3,000	216%
Oscar Health	$551 - $7,276	122%
WellCare	$567	126%
+ 14 smaller / regional plans	$8 - $5,826

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 (about 551), 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 Montefiore St Luke's Cornwall 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 Montefiore St Luke's Cornwall

Compare: Blood transfusion at other NY hospitals

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