CMS Price Transparency Data

Blood transfusion

Facility: Lake Charles Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $371
  • Cash Discount Price: $391
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Lake Charles Memorial Hospital is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $391. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.82x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$391

Average discount available for prompt cash payment at this facility.

Insurance Median
$371

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: $391 (87%)
Insurance Median: $371 (82%)
Cash: $391 (87% of Medicare)
Ins. Median: $371 (82% 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
Aetna $97 - $1,312 22%
Medicaid / KanCare $97 - $181 22%
Meritain $279 - $472 62%
Verity $298 - $504 66%
Blue Cross Blue Shield $371 82%
Champus_Va $371 82%
Cigna $371 - $788 82%
Medicare (plans) $371 82%
Tricare $371 82%
Veterans_Administration $371 82%
Veterans_Choice-Triwest $371 82%
Ppo_Plus_ $372 - $630 83%
Humana $378 - $1,297 84%
Phcs $434 - $735 96%
United_Healthcare_Behavorial_Health $434 - $735 96%
Lwcc $474 - $803 105%
First_Health $496 - $840 110%
Workers_Compensation $558 - $945 124%
Coushatta_Tribe_Dept_Of_Health $667 148%
Blue_Cross_Blue_Shield_La $765 170%
Vantage_Commercial $853 189%
United_Healthcare $1,373 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals