CMS Price Transparency Data

Blood transfusion

Facility: Rapides Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $809
Cash Discount Price: $2,015
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Rapides Regional Medical Center is $809. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,015. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.79x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$2,015

Average discount available for prompt cash payment at this facility.

Insurance Median

$809

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: $2,015 (447%)

Insurance Median: $809 (179%)

Cash: $2,015 (447% of Medicare)

Ins. Median: $809 (179% 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
United	$170 - $3,500	38%
Verity	$227 - $639	50%
Cigna	$237 - $5,851	53%
Humana	$250 - $17,386	55%
Aetna	$262 - $3,139	58%
Ppo Plus	$288 - $809	64%
Louisiana Workers Compensation Corporation	$371 - $1,044	82%
Gilsbar 360	$402 - $1,129	89%
Multiplan	$411 - $1,237	91%
Dma Regional Ppo	$531 - $1,491	118%
Employers Health Network	$531 - $1,491	118%
First Health	$531 - $1,491	118%
Healthsouth Corporation	$531 - $1,491	118%
Plan Vista Solutions (Nppn)	$591 - $1,661	131%
Bestcomp	$614 - $1,725	136%
Blue Cross Blue Shield	$837	186%
Vantage Health Plan	$1,166 - $1,191	259%

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 $2,015.
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 Rapides Regional Medical Center 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.