CMS Price Transparency Data

Blood transfusion

Facility: St Jude Childrens Research Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $627
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at St Jude Childrens Research Hospital is $627. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.39x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$627

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%)

Insurance Median: $627 (139%)

Ins. Median: $627 (139% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$33 - $122	7%
Tenncare Select Hmo	$36	8%
Oklahoma Complete Health	$37	8%
UnitedHealthcare	$62 - $1,142	14%
Healthcare Connections La	$242	54%
Empower	$250	55%
Medicaid / KanCare	$352	78%
Home State Health	$353	78%
Healthy Blue	$396	88%
Molina Marketplace Of Ms	$511	113%
Health Choice - Ok	$743	165%
Vantage	$952 - $1,063	211%
Humana	$1,031	229%
Tricare	$1,110	246%
Aetna	$1,190	264%
Private Health Care Systems	$1,269	282%
Ms Physicians Care Network	$1,348	299%
Baptist Health	$1,427	317%
Cigna	$1,427	317%
First Health Ccn	$1,427	317%
Health Choice	$1,427	317%
Health Link Mississippi	$1,427	317%
Healthscope Benefits Inc	$1,427	317%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Jude Childrens Research Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.