CMS Price Transparency Data

Blood transfusion

Facility: Suny/Stony Brook University Hospital

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$575

about 1.3× the $451 Medicare rate · typically $187–$1,142

modeled estimate · not a bill or quote

What this hospital charges insurers

$548

About the fair price

about $27 under the fair price · 1.2× Medicare

Medicare pays $451 Fair price $575 This hospital $548 Cash price $2,287 Hospital's list price $2,287

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 $548

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood transfusion is about $575 (about 1.3× the $451 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $548, or about $2,287 in cash — about the fair price. Located in Stony Brook, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$219 - $4,255	49%
Blue Cross Blue Shieldmajor	$219 - $5,018	49%
Aetnamajor	$219 - $5,417	49%
Cignamajor	$5,171	1147%
EmblemHealth	$224 - $6,608	50%
Fidelis Care	$219 - $548	49%
+ 9 smaller / regional plans	$165 - $6,468

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 2,287), 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 Suny/Stony Brook University 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 Suny/Stony Brook University Hospital

Compare: Blood transfusion at other NY hospitals

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