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Procedure price report · Blood and blood product transfusion

Exchange blood transfusion in a newborn

CPT 36450the billing code this page is about

Procedure in which a newborn's blood is removed in small amounts and replaced with donor blood, repeated until much of the blood volume has been exchanged.

Hospitals typically charge $573 cash for this outpatient procedure — the median across 546 hospitals that filed a usable cash price; the average of the middle 60% is $656. Most fall between $304 and $1,154 (20th–80th percentile).

Hospitals
546
States
46
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 546 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$204$380$573$1,094$1,932

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($204 vs $1,932).

How the prices are spread

$119 – $163: 17 hospitals$119$163 – $221: 23 hospitals$221 – $302: 47 hospitals$221$302 – $411: 39 hospitals$411 – $559: 110 hospitals$411$559 – $762: 96 hospitals$762 – $1,038: 50 hospitals$762$1,038 – $1,413: 59 hospitals$1,413 – $1,925: 19 hospitals$1,413$1,925 – $2,621: 37 hospitals$1,925median $573price bands are equal on a log scale
Hospitals per price band (497 of 546 — the bands cover the 5th to 95th percentile)
FromToHospitals
$119$16317
$163$22123
$221$30247
$302$41139
$411$559110
$559$76296
$762$1,03850
$1,038$1,41359
$1,413$1,92519
$1,925$2,62137

Against Medicare

Medicare pays (OPPS 2026, national rate)$451
Median cash price$573
Cash as a multiple of Medicare1.27×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $573.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $926 across 27 hospitalsWA$926Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $367 across 18 hospitalsIL$367Wisconsin: median $1,037 across 17 hospitalsWI$1,037Michigan: median $607 across 11 hospitalsMI$607New York: median $517 across 24 hospitalsNY$517Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $441 across 15 hospitalsIA$441Indiana: median $343 across 11 hospitalsIN$343Ohio: median $679 across 16 hospitalsOH$679Pennsylvania: median $513 across 22 hospitalsPA$513New Jersey: median $3,786 across 24 hospitalsNJ$3,786Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,458 across 52 hospitalsCA$1,458Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $93 across 10 hospitalsNE$93Missouri: median $538 across 13 hospitalsMO$538Kentucky: median $554 across 10 hospitalsKY$554West Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $722 across 18 hospitalsVA$722Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $119 across 21 hospitalsTN$119North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $283 across 18 hospitalsOK$283Louisiana: median $447 across 15 hospitalsLA$447Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $567 across 65 hospitalsTX$567Florida: median $751 across 32 hospitalsFL$751
Cash price by state, most expensive first. National median $573. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ24$3,786+561%$484 – $5,419
California CA52$1,458+154%$908 – $1,932
Wisconsin WI17$1,037+81%$756 – $1,037
Washington WA27$926+62%$400 – $1,594
Florida FL32$751+31%$540 – $1,131
Virginia VA18$722+26%$119 – $747
Ohio OH16$679+19%$449 – $946
Michigan MI11$607+6%$607 – $1,037
Texas TX65$567−1%$486 – $642
Kentucky KY10$554−3%$194 – $1,755
Missouri MO13$538−6%$538 – $813
New York NY24$517−10%$338 – $551
Pennsylvania PA22$513−11%$108 – $739
Louisiana LA15$447−22%$199 – $592
Iowa IA15$441−23%$441 – $441
Illinois IL18$367−36%$224 – $1,222
Indiana IN11$343−40%$224 – $1,097
Oklahoma OK18$283−51%$283 – $891
Tennessee TN21$119−79%$117 – $377
Nebraska NE10$93−84%$86 – $307
Arizona AZ9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $573.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care480$567$304 – $1,154
Children’s21$694$341 – $2,105
Critical access44$628$224 – $1,037
Ownership
For-profit55$581$321 – $1,247
Government62$517$270 – $772
Non-profit428$597$304 – $1,200
System affiliation
Part of a system481$596$307 – $1,154
Independent65$473$236 – $1,018

Cash price vs list price

Median list price (chargemaster)$1,158
Median cash price$573
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

409 hospitals filed a usable inpatient cash price for this code. The median is $597 and the average of the middle 60% is $675; most fall between $283 and $1,222.

Cash price percentiles, inpatient, across 409 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$211$339$597$1,154$1,932

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($211 vs $1,932).

Of the 439 hospitals that filed this code inpatient, 409 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

546 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 588 hospitals that filed this code at all gave us
Usable cash price — counted546
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code588

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Blood and blood product transfusion family.

Hospitals file this code under descriptions such as Blood Exchange Transfusion Newborn.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Exchange blood transfusion in a newborn (CPT 36450) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36450-exchange-blood-transfusion-in-a-newborn