CMS Price Transparency Data
Blood transfusion
Facility: Claiborne Memorial Medical Center
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $467
- Cash Discount Price: $816
- vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Claiborne Memorial Medical Center is $467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $816. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$816
Average discount available for prompt cash payment at this facility.
Insurance Median
$467
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: $816 (181%)
Insurance Median: $467 (104%)
Cash: $816 (181% of Medicare)
Ins. Median: $467 (104% 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 |
|---|---|---|
| Sedgwick Claims Mgmt Serv | $73 - $1,048 | 16% |
| Workman'S Comp | $73 - $1,048 | 16% |
| Humana | $103 - $1,164 | 23% |
| Aetna | $187 - $757 | 41% |
| Commercial Insurance | $187 - $1,164 | 41% |
| Meritain Health | $187 - $757 | 41% |
| Amerihealth Caritas La | $201 - $500 | 45% |
| Community Health Solution | $201 - $500 | 45% |
| Correctcare Intergrated | $201 - $500 | 45% |
| Healthy Blue | $201 - $500 | 45% |
| Louisiana Hc Connections | $201 - $500 | 45% |
| Magellan Services | $201 - $500 | 45% |
| Medicaid / KanCare | $201 - $500 | 45% |
| UnitedHealthcare | $201 - $500 | 45% |
| Ambetter / Centene | $250 | 55% |
| Coventry Healthcare | $280 - $698 | 62% |
| Geha | $327 - $815 | 73% |
| Health Plus Of La | $327 - $873 | 73% |
| Apwu Healthplan | $350 - $873 | 78% |
| Cigna | $350 - $873 | 78% |
| Great West Healthcare | $350 - $873 | 78% |
| Phcs | $374 - $931 | 83% |
| Ppo Plus | $374 - $931 | 83% |
| All Savers | $414 | 92% |
| Golden Rule Ins Co | $414 | 92% |
| United Behavioral Health | $414 | 92% |
| Aarp | $467 - $1,164 | 104% |
| Accordia National | $467 - $1,164 | 104% |
| Aflac | $467 - $1,164 | 104% |
| Alameda Alliance Forhealt | $467 - $1,164 | 104% |
| American Pioneer | $467 - $1,164 | 104% |
| Benefit Management | $467 - $1,164 | 104% |
| Benesys Inc | $467 - $1,164 | 104% |
| Business Guarantor | $467 - $1,164 | 104% |
| Chubb | $467 - $1,164 | 104% |
| Commercial Sr. Care | $467 - $1,164 | 104% |
| Employee Benefit Services | $467 - $1,164 | 104% |
| Family Life Insurance Co | $467 - $1,164 | 104% |
| Farm Bureau Insurance | $467 - $1,164 | 104% |
| Fiserv Health Benefit | $467 - $1,164 | 104% |
| Gmp | $467 - $1,164 | 104% |
| Group And Pension Admin | $467 - $1,164 | 104% |
| Group Resources | $467 - $1,164 | 104% |
| Haik Minvielle And Grubbs | $467 - $1,164 | 104% |
| Harrington Benefit Svs | $467 - $1,164 | 104% |
| Health Design Plus | $467 - $1,164 | 104% |
| Health Plan | $467 - $1,164 | 104% |
| Healthscope Benefits | $467 - $1,164 | 104% |
| Insurance Management Admi | $467 - $1,164 | 104% |
| Jefferson National | $467 - $1,164 | 104% |
| John Alden Health Ins | $467 - $1,164 | 104% |
| John Hancock | $467 - $1,164 | 104% |
| Liberty Mutual | $467 - $1,164 | 104% |
| Mailhandlers Benefit Plan | $467 - $1,164 | 104% |
| Manhattan Life Ins Co | $467 - $1,164 | 104% |
| Mega Life And Health | $467 - $1,164 | 104% |
| Msa Careguard | $467 - $1,164 | 104% |
| Mutual Of Omaha | $467 - $1,164 | 104% |
| Nalc Health Benefit Plan | $467 - $1,164 | 104% |
| Naphcare Inc. | $467 - $1,164 | 104% |
| New Era Life Ins Co | $467 - $1,164 | 104% |
| Physicians Mutual | $467 - $1,164 | 104% |
| Principal Financial Group | $467 - $1,164 | 104% |
| Prudential Healthcare | $467 - $1,164 | 104% |
| Self Pay | $467 - $1,164 | 104% |
| State Farm | $467 - $1,164 | 104% |
| State Farm Insurance | $467 - $1,164 | 104% |
| State Mutual Insurance Co | $467 - $1,164 | 104% |
| Sterling Investors Life | $467 - $1,164 | 104% |
| Tower Life | $467 - $1,164 | 104% |
| Transamerica Premier Ins | $467 - $1,164 | 104% |
| United American | $467 - $1,164 | 104% |
| United Comm Travelers | $467 - $1,164 | 104% |
| United Teachers | $467 - $1,164 | 104% |
| Usable Administrator | $467 - $1,164 | 104% |
| Visn 16 Cfu | $467 - $1,164 | 104% |
| Wausau Benefits | $467 - $1,164 | 104% |
| Webtpa | $467 - $1,164 | 104% |
| Wells Fargo | $467 - $1,164 | 104% |
| Woodmen Of The World | $467 - $1,164 | 104% |
| Blue Cross Blue Shield | $1,063 | 236% |