CMS Price Transparency Data

Blood transfusion

Facility: Northern Louisiana Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $2,446
  • Cash Discount Price: $2,207
  • vs. Medicare Baseline: 5.43x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Northern Louisiana Medical Center is $2,446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,207. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 5.43x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$2,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,446

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: $2,207 (490%)
Insurance Median: $2,446 (543%)
Cash: $2,207 (490% of Medicare)
Ins. Median: $2,446 (543% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 543% of the Medicare baseline (a markup of 443%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $172 - $2,940 38%
Aetna $329 - $2,935 73%
Blue Cross Blue Shield $329 - $781 73%
Medicaid / KanCare $329 - $4,892 73%
Humana $362 - $769 80%
Golden Rule Ins $671 - $2,940 149%
Cigna $800 - $2,446 177%
Kaiser Permanente $800 - $2,446 177%
Verity Healthnet $1,127 - $2,397 250%
Gilsbar $1,266 - $2,690 281%
Self Pay $1,266 - $2,690 281%
First Health $1,600 - $4,158 355%
Geha $1,841 - $4,647 408%
Multiplan $1,956 - $4,158 434%
Phcs $1,956 - $4,158 434%
Work Comp City Of Ruston $2,071 - $4,402 459%
Work Comp First Health $2,071 - $4,402 459%
Work Comp Nlmc Emp $2,071 - $4,402 459%
Workers Compensation $2,071 - $4,402 459%
Aarp $2,301 - $4,892 511%
Aflc American Family Life $2,301 - $4,892 511%
American Life Accident $2,301 - $4,892 511%
Apwu Health Plan $2,301 - $4,892 511%
Bankers Life And Casualty $2,301 - $4,892 511%
Benefit Trust Life $2,301 - $4,892 511%
Crime Victims Compensatio $2,301 - $4,892 511%
Equitable $2,301 - $4,892 511%
Fox Everett Inc $2,301 - $4,892 511%
Gmp Employers Retiree Tru $2,301 - $4,892 511%
Gsu Athletics $2,301 - $4,892 511%
Guarantee Trust Life Ins $2,301 - $4,892 511%
Healthfirst Tpa $2,301 - $4,892 511%
Hospice Of Caring Hearts $2,301 - $4,892 511%
Ima Insurance $2,301 - $4,892 511%
Industrial Accounts $2,301 - $4,892 511%
Liberty Healthshare $2,301 - $4,892 511%
Liberty Mutual Group $2,301 - $4,892 511%
Lifecare Specialty Hosp $2,301 - $4,892 511%
Lin Parish Detention $2,301 - $4,892 511%
Lincoln Kidney Center $2,301 - $4,892 511%
Ltu Athletics $2,301 - $4,892 511%
Ltu Student Ins Bollinger $2,301 - $4,892 511%
Mcr American Hlth Adv $2,301 - $4,892 511%
Misc Commercial $2,301 - $4,892 511%
Mva Insurance Payors $2,301 - $4,892 511%
Nalc Health Benefit Plan $2,301 - $4,892 511%
Nalc Natl Assoc Ltr Carri $2,301 - $4,892 511%
Newera $2,301 - $4,892 511%
Nlmc Community Services $2,301 - $4,892 511%
Physicians Mutual Ins $2,301 - $4,892 511%
Premier Hospice $2,301 - $4,892 511%
Principal Mutual Life Ins $2,301 - $4,892 511%
Protective Life Ins $2,301 - $4,892 511%
Ruston Regional Specialty $2,301 - $4,892 511%
Specialty Hosp Of Winnfie $2,301 - $4,892 511%
State Farm Insurance $2,301 - $4,892 511%
State Mutual Ins $2,301 - $4,892 511%
Sterling Investors Life $2,301 - $4,892 511%
The Hartford $2,301 - $4,892 511%
Union Bankers Insurance C $2,301 - $4,892 511%
Union Fidelity Life Ins $2,301 - $4,892 511%
United American $2,301 - $4,892 511%
United Teachers Ins $2,301 - $4,892 511%
Us Dept Of Labor $2,301 - $4,892 511%
Washington National Ins $2,301 - $4,892 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals