CMS Price Transparency Data

Blood transfusion

Facility: St Charles Parish Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $721
Cash Discount Price: $428
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at St Charles Parish Hospital is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.60x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.

Cash / Self-Pay

$428

Average discount available for prompt cash payment at this facility.

Insurance Median

$721

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: $428 (95%)

Insurance Median: $721 (160%)

Cash: $428 (95% of Medicare)

Ins. Median: $721 (160% 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
Tricare	$157 - $381	35%
Medicaid / KanCare	$322	71%
UnitedHealthcare	$384 - $721	85%
Aetna	$401 - $1,381	89%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$401	89%
Blue Cross Blue Shield	$401 - $734	89%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$401	89%
Humana	$401 - $721	89%
Medicare (plans)	$401	89%
Ochsner Health Plan	$401	89%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$721	160%
Healthy Blue (Healthy Louisiana)	$721	160%
Louisiana Healthcare Connections (Healthy Louisiana)	$721	160%
Zelis	$952	211%
Cigna	$997	221%
Galaxy Health Network Ppo	$1,190	264%
Galaxy Health Network Wc	$1,190	264%
Louisiana Workers' Compensation Corporation (Lwcc)	$1,190	264%
Healthcomp & Personify Health (Formerly Gilsbar)	$1,222	271%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,270	282%
First Health Network	$1,349	299%

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 $428.
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 St Charles Parish 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.