CMS Price Transparency Data

Blood transfusion

Facility: Ochsner Medical Center Acute

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $850
  • Cash Discount Price: $692
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Ochsner Medical Center Acute is $850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $692. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.89x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$692

Average discount available for prompt cash payment at this facility.

Insurance Median
$850

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: $692 (154%)
Insurance Median: $850 (189%)
Cash: $692 (154% of Medicare)
Ins. Median: $850 (189% 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.

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
Tricare $157 - $401 35%
Medicaid / KanCare $322 - $338 71%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $401 89%
Blue Cross Blue Shield $401 - $1,153 89%
Healthy Blue Dual Advantage (Hmo-D-Snp) $401 89%
Humana $401 - $475 89%
Medicare (plans) $401 89%
Ochsner Health Plan $401 89%
UnitedHealthcare $401 - $475 89%
Pace New Orleans $442 98%
Healthy Blue (Healthy Louisiana) $485 108%
Louisiana Healthcare Connections (Healthy Louisiana) $485 108%
Aetna $489 - $1,705 108%
Amerihealth Caritas Louisiana (Healthy Louisiana) $489 108%
Christus Health Exchange Plan $741 164%
Cigna $2,054 456%
First Health Network $2,359 523%
Louisiana Workers' Compensation Corporation (Lwcc) $2,359 523%
Mississippi Physicians Care Network $2,359 523%
Healthcomp & Personify Health (Formerly Gilsbar) $2,485 551%
Claritev D/B/A Multiplan/Phcs/American Life Care $2,516 558%
Zelis $2,516 558%
Employers Health Network (Ehn) $2,673 593%
Prime Health Services Ppo $2,673 593%
Usa Managed Care Network $2,673 593%
Behavioral Health Systems $2,830 628%
Evolutions Healthcare $2,830 628%
Galaxy Health Network Ppo $2,830 628%
Galaxy Health Network Wc $2,830 628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals