CMS Price Transparency Data

Blood transfusion

Facility: HCA Houston Healthcare West

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$493
about 1.1× the $451 Medicare rate · typically $231–$1,561
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,430
Well above the fair price
about $937 over the fair price · 3.2× Medicare
Medicare pays $451 Fair price $493 This hospital $1,430 Cash price $2,852 Hospital's list price $2,852

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 $1,430

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 $493 (about 1.1× the $451 Medicare rate). HCA Houston Healthcare West charges insurers about $1,430, or about $2,852 in cash — well above the fair price. Located in Houston, 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 $493. 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 $33 - $1,702 7%
Blue Cross Blue Shieldmajor $253 - $998 56%
Aetnamajor $39 - $2,947 9%
Cignamajor $422 - $3,128 94%
Humanamajor $38 - $4,690 8%
Amerigroup $32 - $399 7%
Fidelis Care $1,283 - $2,115 285%
Health Net $30 7%
Healthcare Highways $727 - $5,841 161%
Molina $34 8%
Oscar Health $556 - $2,358 123%
WellMed $445 99%
+ 15 smaller / regional plans $34 - $2,424
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals