Blood transfusion
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $1,097
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.43x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 243% of the Medicare baseline (a markup of 143%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $136 - $1,792 | 30% |
| Americhoice | $136 - $326 | 30% |
| Horizon | $147 - $1,767 | 33% |
| Self Pay | $158 - $379 | 35% |
| Magnacare | $422 - $2,272 | 94% |
| Tricare | $437 | 97% |
| Cigna | $443 - $1,272 | 98% |
| Devoted Health Plan | $511 | 113% |
| Evernorth | $528 - $1,262 | 117% |
| Qualcare Commercial | $528 - $1,262 | 117% |
| Great West Life | $532 - $1,272 | 118% |
| Aetna | $607 - $3,385 | 135% |
| Global Exchange Managed Care | $633 - $745 | 140% |
| Amerihealth | $678 - $2,122 | 150% |
| First McO | $686 - $1,641 | 152% |
| Qualcare Wc | $686 - $1,641 | 152% |
| Mutual of Omaha | $686 - $1,641 | 152% |
| Active Care Plus | $686 - $1,641 | 152% |
| Consumer Health Network (Chn) | $738 - $2,272 | 164% |
| Donio Trucking | $738 - $1,767 | 164% |
| Oxford | $791 - $1,893 | 175% |
| Devon/ Ullicare | $791 - $1,893 | 175% |
| Coventry Health Care | $844 - $2,019 | 187% |
| Private Healthcare System (PHCS) | $844 - $2,019 | 187% |
| Blue Cross Blue Shield | $868 - $2,824 | 193% |
| Health South | $897 - $2,145 | 199% |
| Metrahealth of Nj | $897 - $2,145 | 199% |
| Health Payors Org | $897 - $2,145 | 199% |
| Prime Health Services | $897 - $2,145 | 199% |
| Three Rivers Provider Network (Trpn) | $897 - $2,145 | 199% |
| Metracomp | $950 - $2,272 | 211% |
| Intergroup Preferred Program | $950 - $2,272 | 211% |
| Choice Care | $950 - $2,272 | 211% |
| Beech Street | $950 - $2,272 | 211% |
| Multiplan | $950 - $2,272 | 211% |
| Galaxy Health Network | $950 - $2,272 | 211% |
| Department of Corrections | $950 - $2,272 | 211% |
| Health Network Inc | $950 - $2,272 | 211% |
| Provider Select, Inc | $950 - $2,272 | 211% |
| McS Commercial | $950 - $2,272 | 211% |
| Active Care Nj Pip | $950 - $2,272 | 211% |
| Master Care Inc | $976 - $2,335 | 217% |
| Atlantis Health Plan | $976 - $2,335 | 217% |
| Health Partners Plan | $993 | 220% |
| Health Network America | $1,002 - $2,398 | 222% |
| Community Care Network | $1,002 - $2,398 | 222% |
| National Health Plan | $1,002 - $2,398 | 222% |
| Advance Healthcare System | $1,002 - $2,398 | 222% |
| McSi/Mrsi No Fault | $1,002 - $2,398 | 222% |
| McSi/Mrsi Worker's Comp | $1,002 - $2,398 | 222% |
| Ufcw | $1,479 | 328% |