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Procedure price report · Blood and blood product transfusion

Partial exchange transfusion in a newborn

CPT 36456the billing code this page is about

Removal of part of a newborn's blood volume with replacement by donor blood, plasma or fluid, performed by a physician; less blood is exchanged than in a full exchange transfusion.

Hospitals typically charge $535 cash for this outpatient procedure — the median across 260 hospitals that filed a usable cash price; the average of the middle 60% is $620. Most fall between $260 and $1,117 (20th–80th percentile).

Hospitals
260
States
36
Filings dated
Jul 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 260 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
$162$321$535$1,082$1,932

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($162 vs $1,932).

How the prices are spread

$95 – $131: 7 hospitals$95$131 – $181: 20 hospitals$181 – $251: 8 hospitals$181$251 – $347: 26 hospitals$347 – $481: 23 hospitals$347$481 – $666: 60 hospitals$666 – $922: 22 hospitals$666$922 – $1,276: 38 hospitals$1,276 – $1,767: 9 hospitals$1,276$1,767 – $2,447: 22 hospitals$1,767median $535price bands are equal on a log scale
Hospitals per price band (235 of 260 — the bands cover the 5th to 95th percentile)
FromToHospitals
$95$1317
$131$18120
$181$2518
$251$34726
$347$48123
$481$66660
$666$92222
$922$1,27638
$1,276$1,7679
$1,767$2,44722

Against Medicare

Medicare pays (OPPS 2026, national rate)$451
Median cash price$535
Cash as a multiple of Medicare1.19×

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 $535.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $517 across 20 hospitalsNY$517Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $260 across 13 hospitalsIA$260Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $70 across 15 hospitalsPA$70New Jersey: median $3,786 across 22 hospitalsNJ$3,786Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,932 across 37 hospitalsCA$1,932Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth 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 $162 across 12 hospitalsOK$162Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $465 across 28 hospitalsTX$465Florida: median $751 across 12 hospitalsFL$751
Cash price by state, most expensive first. National median $535. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ22$3,786+608%$484 – $5,419
California CA37$1,932+261%$1,082 – $1,932
Florida FL12$751+40%$751 – $751
New York NY20$517−3%$331 – $524
Texas TX28$465−13%$465 – $511
Iowa IA13$260−51%$260 – $260
Oklahoma OK12$162−70%$162 – $162
Pennsylvania PA15$70−87%$59 – $513
Illinois IL9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Nebraska NE3not 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
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $535.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care242$535$260 – $1,117
Children’s5fewer than 20 hospitals
Critical access13fewer than 20 hospitals
Ownership
For-profit17fewer than 20 hospitals
Government27$517$225 – $650
Non-profit216$538$260 – $1,224
System affiliation
Part of a system227$538$260 – $1,155
Independent33$499$196 – $937

Cash price vs list price

Median list price (chargemaster)$967
Median cash price$535
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

168 hospitals filed a usable inpatient cash price for this code. The median is $538 and the average of the middle 60% is $687; most fall between $260 and $1,224.

Cash price percentiles, inpatient, across 168 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
$162$260$538$1,117$1,932

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($162 vs $1,932).

Of the 175 hospitals that filed this code inpatient, 168 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 0 a list price only.

How complete is this

260 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 272 hospitals that filed this code at all gave us
Usable cash price — counted260
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
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 — excluded0
Hospitals that filed this code272

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Prtl Exchange Transfuse Blood/Plsm/Cryst 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, “Partial exchange transfusion in a newborn (CPT 36456) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36456-partial-exchange-transfusion-in-a-newborn