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Procedure price report · Blood and blood product transfusion

Exchange blood transfusion, patient other than a newborn

CPT 36455the billing code this page is about

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

Hospitals typically charge $772 cash for this outpatient procedure — the median across 439 hospitals that filed a usable cash price; the average of the middle 60% is $820. Most fall between $389 and $1,632 (20th–80th percentile).

Hospitals
439
States
47
Filings dated
Mar 2023 – 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 439 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
$233$458$772$1,249$2,700

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($233 vs $2,700).

How the prices are spread

$153 – $215: 18 hospitals$153$215 – $303: 20 hospitals$303 – $425: 37 hospitals$303$425 – $598: 64 hospitals$598 – $841: 78 hospitals$598$841 – $1,183: 70 hospitals$1,183 – $1,664: 46 hospitals$1,183$1,664 – $2,340: 9 hospitals$2,340 – $3,290: 46 hospitals$2,340$3,290 – $4,627: 9 hospitals$3,290median $772price bands are equal on a log scale
Hospitals per price band (397 of 439 — the bands cover the 5th to 95th percentile)
FromToHospitals
$153$21518
$215$30320
$303$42537
$425$59864
$598$84178
$841$1,18370
$1,183$1,66446
$1,664$2,3409
$2,340$3,29046
$3,290$4,6279

Against Medicare

Medicare pays (OPPS 2026, national rate)$451
Median cash price$772
Cash as a multiple of Medicare1.71×

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 $772.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 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 $400 across 11 hospitalsWA$400Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $310 across 22 hospitalsIL$310Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $1,244 across 11 hospitalsMI$1,244New York: median $517 across 30 hospitalsNY$517Massachusetts: 2 hospitals 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 $310 across 14 hospitalsIA$310Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $566 across 11 hospitalsOH$566Pennsylvania: median $513 across 19 hospitalsPA$513New Jersey: median $3,786 across 22 hospitalsNJ$3,786Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,122 across 47 hospitalsCA$1,122Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $429 across 13 hospitalsCO$429Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $9,604 across 10 hospitalsAZ$9,604New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,214 across 24 hospitalsNC$1,214South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $513 across 14 hospitalsOK$513Louisiana: median $478 across 15 hospitalsLA$478Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $740 across 35 hospitalsTX$740Florida: median $822 across 33 hospitalsFL$822
Cash price by state, most expensive first. National median $772. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ10$9,604+1144%$897 – $9,604
New Jersey NJ22$3,786+390%$484 – $5,419
Michigan MI11$1,244+61%$607 – $1,244
North Carolina NC24$1,214+57%$1,165 – $2,531
California CA47$1,122+45%$874 – $2,408
Florida FL33$822+6%$751 – $1,243
Texas TX35$740−4%$703 – $863
Ohio OH11$566−27%$466 – $688
New York NY30$517−33%$377 – $837
Oklahoma OK14$513−34%$480 – $1,273
Pennsylvania PA19$513−34%$77 – $824
Louisiana LA15$478−38%$200 – $1,112
Colorado CO13$429−44%$368 – $859
Washington WA11$400−48%$367 – $562
Iowa IA14$310−60%$310 – $310
Illinois IL22$310−60%$153 – $852
Kentucky KY8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Wisconsin WI1not 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 $772.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care396$780$400 – $1,634
Children’s19fewer than 20 hospitals
Critical access23$702$294 – $1,224
Ownership
For-profit46$863$432 – $2,455
Government62$517$260 – $1,165
Non-profit330$780$403 – $1,853
System affiliation
Part of a system383$822$427 – $1,632
Independent56$499$252 – $1,442

Cash price vs list price

Median list price (chargemaster)$1,335
Median cash price$772
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

289 hospitals filed a usable inpatient cash price for this code. The median is $824 and the average of the middle 60% is $850; most fall between $403 and $1,317.

Cash price percentiles, inpatient, across 289 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
$305$466$824$1,243$2,408

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($305 vs $2,408).

Of the 309 hospitals that filed this code inpatient, 289 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

439 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 468 hospitals that filed this code at all gave us
Usable cash price — counted439
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
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 — excluded9
Hospitals that filed this code468

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 5, 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 PR Exchange Transfusion, Othr.

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, patient other than a newborn (CPT 36455) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36455-exchange-blood-transfusion-patient-other-than-a-newborn