CMS Price Transparency Data
Blood transfusion
Facility: Avoyelles Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $700
- Cash Discount Price: $225
- vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Avoyelles Hospital is $700. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.55x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$225
Average discount available for prompt cash payment at this facility.
Insurance Median
$700
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: $225 (50%)
Insurance Median: $700 (155%)
Cash: $225 (50% of Medicare)
Ins. Median: $700 (155% 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
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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 | $48 - $1,300 | 11% |
| Amer Contl Ins | $48 - $1,300 | 11% |
| Coventry | $48 - $1,300 | 11% |
| First Choice Health | $48 - $1,300 | 11% |
| Meritan Health | $48 - $2,301 | 11% |
| Cigna | $80 - $1,298 | 18% |
| Correct Cr Int Hlt | $80 - $479 | 18% |
| Mcd Amerihealth Caritas | $80 - $479 | 18% |
| Mcd Healthy Blue | $80 - $479 | 18% |
| Mcd La Hc Conn | $80 - $479 | 18% |
| Medicaid / KanCare | $80 - $479 | 18% |
| UnitedHealthcare | $80 - $479 | 18% |
| Mcd Ms | $88 - $526 | 20% |
| Student Assurances | $116 - $2,301 | 26% |
| Humana | $139 - $1,305 | 31% |
| Ppo Plus Llc | $231 - $1,381 | 51% |
| Zelis Healthcare Bpa | $231 - $1,381 | 51% |
| Gilsbar | $243 - $1,450 | 54% |
| Amerind | $346 - $2,071 | 77% |
| Applied Underwriters | $346 - $2,071 | 77% |
| Sedgwick | $346 - $2,071 | 77% |
| Us Dept Of Labor | $346 - $2,071 | 77% |
| Wc Clms Admin Svcs | $346 - $2,071 | 77% |
| Wc Clms Mgmnt Walmart | $346 - $2,071 | 77% |
| Wc Esis | $346 - $2,071 | 77% |
| Wc Fara | $346 - $2,071 | 77% |
| Wc Gallagher Bassett | $346 - $2,071 | 77% |
| Wc Guide One | $346 - $2,071 | 77% |
| Wc Hartford Med | $346 - $2,071 | 77% |
| Wc Luba | $346 - $2,071 | 77% |
| Wc Lwcc | $346 - $2,071 | 77% |
| Wc Paragon Casino Resort | $346 - $2,071 | 77% |
| Wc Risk Mgmnt | $346 - $2,071 | 77% |
| Wc Stone Trust | $346 - $2,071 | 77% |
| Wc Summit Consulting Hold | $346 - $2,071 | 77% |
| Wc Travelers Ins | $346 - $2,071 | 77% |
| Wc Trs Workers Comp Claim | $346 - $2,071 | 77% |
| Wc Us Dol | $346 - $2,071 | 77% |
| Wc Zurich | $346 - $2,071 | 77% |
| Aarp | $385 - $2,301 | 85% |
| Admin Concepts | $385 - $2,301 | 85% |
| All Saints Hospice | $385 - $2,301 | 85% |
| All State | $385 - $2,301 | 85% |
| Allegiance Health Hospice | $385 - $2,301 | 85% |
| Allied Natl | $385 - $2,301 | 85% |
| Amfirst | $385 - $2,301 | 85% |
| Avoy Parish School Board | $385 - $2,301 | 85% |
| Avoyelles Parish Sheriff | $385 - $2,301 | 85% |
| Bollinger | $385 - $2,301 | 85% |
| Ccmsi | $385 - $2,301 | 85% |
| Central States | $385 - $2,301 | 85% |
| Christus Health Plan | $385 - $2,301 | 85% |
| Compassionate Care Hospic | $385 - $2,301 | 85% |
| Core Source | $385 - $2,301 | 85% |
| Coushatta Hlth Dept | $385 - $2,301 | 85% |
| Ebms | $385 - $2,301 | 85% |
| Federated Ins | $385 - $2,301 | 85% |
| Feedom Life | $385 - $2,301 | 85% |
| Fidelity Standard Life Co | $385 - $2,301 | 85% |
| Fox Everette | $385 - $2,301 | 85% |
| Guarantee Trust | $385 - $2,301 | 85% |
| Heart Of Hospice | $385 - $2,301 | 85% |
| Hos Christus Hospice | $385 - $2,301 | 85% |
| Hos Guardian Hospice Care | $385 - $2,301 | 85% |
| Hos Harbor Hospice Alex | $385 - $2,301 | 85% |
| Hos La Hospice Palliative | $385 - $2,301 | 85% |
| Hos Passages Hospice N. | $385 - $2,301 | 85% |
| Hos St Joseph Hospice | $385 - $2,301 | 85% |
| Hospice Miscellaneous | $385 - $2,301 | 85% |
| Ins Mgmnt Admin | $385 - $2,301 | 85% |
| Ins Tpa | $385 - $2,301 | 85% |
| Liberty Health Share | $385 - $2,301 | 85% |
| Lumico | $385 - $2,301 | 85% |
| Manhattan Life Ins | $385 - $2,301 | 85% |
| Medi Share | $385 - $2,301 | 85% |
| Misc Comm | $385 - $2,301 | 85% |
| Nalc | $385 - $2,301 | 85% |
| New Era Life | $385 - $2,301 | 85% |
| North American | $385 - $2,301 | 85% |
| Phcs | $385 - $2,301 | 85% |
| Physicians Mutual | $385 - $2,301 | 85% |
| Pipeline Ind Bene | $385 - $2,301 | 85% |
| Progressive Auto | $385 - $2,301 | 85% |
| Reliance Standard Life | $385 - $2,301 | 85% |
| Rural Carriers | $385 - $2,301 | 85% |
| Shelter Ins Co | $385 - $2,301 | 85% |
| Sierre Health And Life | $385 - $2,301 | 85% |
| State Farm | $385 - $2,301 | 85% |
| State Mutual | $385 - $2,301 | 85% |
| Sterling Investors | $385 - $2,301 | 85% |
| The Health Plan | $385 - $2,301 | 85% |
| Tribal Hlth Partners | $385 - $2,301 | 85% |
| Tricare | $385 - $2,301 | 85% |
| Trustmark Health Benefits | $385 - $2,301 | 85% |
| Tunica Biloxi | $385 - $2,301 | 85% |
| Uct | $385 - $2,301 | 85% |
| Unified Life | $385 - $2,301 | 85% |
| Usaa Life Ins | $385 - $2,301 | 85% |
| Web-Tpa | $385 - $2,301 | 85% |
| Woodmen Of The World | $385 - $2,301 | 85% |
| Blue Cross Blue Shield | $608 | 135% |
| Ofc Of Grp Bene | $608 | 135% |