CPT 36430 Transfusion
Transfusion bld/bld compnt Cost
Body System: Hemic/Lymphatic
Medicare Facility Rate
$31
CMS PFS CY2026
Medicare Non-Facility Rate
$119
Office/clinic setting
Hospital Outpatient
$451
OPPS rate
Surgery Center (ASC)
$47
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.40
Work RVU
0.55
Facility PE RVU
0.02
Malpractice RVU
Cost by Location
| 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 |
Frequently Asked Questions
How much does Transfusion bld/bld compnt cost?
The Medicare facility rate is $31. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $451. Ambulatory surgery center rate: $47.
How much does Transfusion bld/bld compnt cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $31.