CMS Price Transparency Data

Blood transfusion

Facility: University Medical Center of El Paso

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$358

about 0.8× the $451 Medicare rate · typically $98–$687

modeled estimate · not a bill or quote

What this hospital charges insurers

$430

Above the fair price

about $72 over the fair price · 1.0× Medicare

Medicare pays $451 Fair price $358 This hospital $430 Cash price $219 Hospital's list price $1,096

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $69 Priciest $430

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

A fair price for a Blood transfusion is about $358 (about 0.8× the $451 Medicare rate). University Medical Center of El Paso charges insurers about $430, or about $219 in cash — above the fair price. Located in El Paso, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $358. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$1,415	314%
Blue Cross Blue Shieldmajor	$469 - $1,042	104%
Aetnamajor	$141 - $430	31%
Cignamajor	$394 - $766	87%
Humanamajor	$469 - $912	104%
Amerigroup	$31 - $37,827	7%
Health Net	$39	9%
Molina	$34 - $430	8%
WellCare	$430	95%
WellMed	$430	95%
+ 3 smaller / regional plans	$31 - $796

Government programs also on file: Medicare, Medicaid.

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 219), 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 University Medical Center of El Paso 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 University Medical Center of El Paso

Compare: Blood transfusion at other TX hospitals

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