CMS Price Transparency Data

Blood transfusion

Facility: Christus St Frances Cabrini Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $457
Cash Discount Price: $764
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Christus St Frances Cabrini Hospital is $457. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.01x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$764

Average discount available for prompt cash payment at this facility.

Insurance Median

$457

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: $764 (170%)

Insurance Median: $457 (101%)

Cash: $764 (170% of Medicare)

Ins. Median: $457 (101% 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
Humana	$147 - $408	33%
Amerihealth Caritas Louisiana	$353	78%
Healthy Blue Louisiana	$353	78%
Louisiana Healthcare Connections	$353	78%
UnitedHealthcare	$353 - $857	78%
Aetna	$382 - $1,447	85%
Triwest	$408	91%
Active Med	$416	92%
Arcadian Health Plan	$416	92%
Blue Cross Blue Shield	$416 - $1,094	92%
Christus Health	$416 - $582	92%
Coventry	$416	92%
Vantage Health Plan Inc.	$416 - $1,470	92%
Dignity Health	$428	95%
Peoples Health	$428	95%
Wellcare	$437	97%
Allyalign Health	$457	101%
Medicare (plans)	$457	101%
Lsu First Choice Verity	$1,470	326%
Gilsbar, Inc.	$1,764	391%
Healthcare Highways	$1,764	391%
Verity Healthnet	$1,764	391%
Healthsmart	$1,911 - $2,352	424%
Ppoplus Llc	$1,911	424%
Multiplan	$2,058	457%
Phcs	$2,058	457%
Health Management Network	$2,352	522%
Provider Select	$2,352	522%
First Health	$2,499	554%
Verity Healthnet National	$2,499	554%
Five Point Credit Union	$4,020	892%
Cigna	$5,010	1112%

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 $764.
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 Christus St Frances Cabrini Hospital 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.