CPT 36430 Transfusion

How Much Does Transfusion bld/bld compnt Cost?

Transfusion bld/bld compnt (CPT 36430) costs $31 at Medicare rates. Hospital outpatient rate: $451.

Cost Comparison by Payer

How much Transfusion bld/bld compnt costs across different settings and payers

Medicare
Facility rate
$31
Hospital Outpatient
OPPS rate
$451
Surgery Center
ASC rate
$47
Medicare (Facility)
$31
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$119
Non-facility setting
Hospital Outpatient
$451
OPPS rate
Surgery Center (ASC)
$47
Ambulatory surgery center

Procedures Commonly Done Together

These procedures are frequently performed alongside Transfusion bld/bld compnt

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Transfusion bld/bld compnt Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
US — Carrier 01112 Locality 05 $66 $99 — $166
US — Carrier 01112 Locality 09 $68 $102 — $169
US — Carrier 01112 Locality 51 $62 $93 — $155
US — Carrier 01112 Locality 52 $66 $99 — $166
US — Carrier 01112 Locality 53 $62 $93 — $155
US — Carrier 01112 Locality 54 $52 $78 — $129
US — Carrier 01112 Locality 55 $52 $78 — $129
US — Carrier 01112 Locality 56 $52 $78 — $129
US — Carrier 01112 Locality 57 $52 $78 — $129
US — Carrier 01112 Locality 58 $52 $78 — $129
US — Carrier 01112 Locality 59 $52 $78 — $129
US — Carrier 01112 Locality 60 $52 $78 — $129
US — Carrier 01112 Locality 61 $52 $78 — $129
US — Carrier 01112 Locality 62 $52 $78 — $130
US — Carrier 01112 Locality 63 $55 $82 — $137
US — Carrier 01112 Locality 64 $55 $82 — $137
US — Carrier 01112 Locality 65 $68 $102 — $170
US — Carrier 01112 Locality 66 $57 $86 — $143
US — Carrier 01112 Locality 67 $58 $87 — $145
US — Carrier 01112 Locality 68 $52 $78 — $129
US — Carrier 01112 Locality 69 $52 $78 — $129
US — Carrier 01112 Locality 70 $52 $78 — $129
US — Carrier 01112 Locality 75 $52 $78 — $129
US — Carrier 01182 Locality 17 $56 $84 — $139
US — Carrier 01182 Locality 18 $56 $84 — $140

How to Reduce Your Cost for Transfusion bld/bld compnt

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($119) differs from the facility rate ($31). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $41 to $68 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $47, compared to $451 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.40
Work RVU
0.55
Practice Expense RVU
0.02
Malpractice RVU

Payment = Total RVU () x CF ($33.40) = N/A

Frequently Asked Questions

How much does Transfusion bld/bld compnt cost?

The Medicare facility rate for Transfusion bld/bld compnt is $31. In a hospital outpatient setting, the rate is $451. At an ambulatory surgery center, the rate is $47. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Transfusion bld/bld compnt cost without insurance?

Without insurance, the cost of Transfusion bld/bld compnt can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Transfusion bld/bld compnt?

Most commercial health insurance plans and Medicare cover Transfusion bld/bld compnt when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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