36430
Transfusion of whole blood
Transfusion of whole blood is the #763 most-billed Medicaid procedure code, with $86.0M in payments across 500K claims from 2018–2024. The national median cost per claim is $111.66. Costs vary widely — the 90th percentile is $314.96 per claim, 2.8× the median.
Total Paid
$86.0M
0.01% of all spending
Total Claims
500K
Providers
545
Avg Cost/Claim
$172
National Cost Distribution
How much do providers bill per claim for 36430? Based on 516 providers billing this code nationally.
Median
$111.66
Average
$143.08
Std Dev
$128.02
Max
$797.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.55 and $188.94 per claim for this code.
90% bill between $21.56 and $314.96.
Top 1% bill above $566.87.
About This Procedure
HCPCS code 36430 (Transfusion of whole blood) was billed by 545 providers across 500K claims, totaling $86.0M in Medicaid payments from 2018–2024. This code was used for 322K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$111.66
Providers Billing
516
National Spending
$86.0M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 36430
| # | Provider | Total Paid |
|---|---|---|
| 1 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $4.6M |
| 2 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $3.7M |
| 3 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $2.8M |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.5M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.3M |
| 6 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.9M |
| 7 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $1.8M |
| 8 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.8M |
| 9 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1.8M |
| 10 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.6M |
| 11 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $1.6M |
| 12 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.6M |
| 13 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $1.5M |
| 14 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $1.4M |
| 15 | 1164493847 | $1.4M |
| 16 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.4M |
| 17 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.2M |
| 18 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $1.1M |
| 19 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $1.1M |
| 20 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $1.1M |
Showing top 20 of 545 providers billing this code