CMS Price Transparency Data

Blood transfusion

Facility: Terrebonne General Medical Center - Parish

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $439
Cash Discount Price: $500
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Terrebonne General Medical Center - Parish is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.97x the Medicare baseline. Located in 8166 Main Street, Houma, LA.

Cash / Self-Pay

$500

Average discount available for prompt cash payment at this facility.

Insurance Median

$439

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: $500 (111%)

Insurance Median: $439 (97%)

Cash: $500 (111% of Medicare)

Ins. Median: $439 (97% 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
Champ Va	$31	7%
Medicaid / KanCare	$121	27%
UnitedHealthcare	$121 - $861	27%
Amerihealth	$123	27%
Aetna	$125 - $568	28%
Humana	$127 - $1,202	28%
Verity Health	$385	85%
Blue Cross Blue Shield	$393 - $676	87%
Dept Of Veterans Affairs	$393	87%
Medicare (plans)	$393	87%
Tricare	$399	89%
Ppoplus	$405	90%
Amg	$419	93%
Multiplan Inc	$439	97%
Cigna	$453	101%
Coventry Health Of Louisiana	$541	120%
Workers Comp	$676	150%
Vantage Health Plan	$999	222%
Gilsbar 360	$1,125 - $1,132	250%

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 $500.
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 Terrebonne General Medical Center - Parish 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.