CMS Price Transparency Data

Blood transfusion

Facility: Ochsner Choctaw General

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $408
Cash Discount Price: $600
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Ochsner Choctaw General is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $600. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.91x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$600

Average discount available for prompt cash payment at this facility.

Insurance Median

$408

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)

Cash / Self-Pay: $600 (133%)

Insurance Median: $408 (91%)

Cash: $600 (133% of Medicare)

Ins. Median: $408 (91% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$178 - $434	39%
Humana	$311 - $355	69%
Medicaid / KanCare	$322 - $338	71%
Cigna	$355 - $434	79%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$355	79%
Medicare (plans)	$355 - $408	79%
Ambetter / Centene	$359	80%
Shared Health Mississippi	$373	83%
Aetna	$513	114%
Primewell Health Services Commercial Exchange Plan	$529	117%
Primewell Health Services – Commercial	$529	117%
Select Administrative Services Network	$552	122%
Claritev D/B/A Multiplan/Phcs/American Life Care	$592	131%
Zelis	$592	131%
Prime Health Services Ppo -Workers Comp	$630	140%
Prime Health Services Ppo	$631	140%
Cor Vel	$643	143%
Blue Cross Blue Shield	$1,417	314%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $600.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.