CMS Price Transparency Data

Blood transfusion

Facility: Byrd Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $462
Cash Discount Price: $239
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Byrd Regional Hospital is $462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.03x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.

Cash / Self-Pay

$239

Average discount available for prompt cash payment at this facility.

Insurance Median

$462

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: $239 (53%)

Insurance Median: $462 (103%)

Cash: $239 (53% of Medicare)

Ins. Median: $462 (103% 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
Aetna	$25 - $1,014	6%
Coventry Healthcare Of La	$25 - $605	6%
Amerihealth Caritas	$75 - $144	17%
Correct Care Int Hth	$75 - $144	17%
Healthy Blue	$75 - $144	17%
La Healthcare Conn Mdcaid	$75 - $144	17%
Medicaid / KanCare	$75 - $144	17%
UnitedHealthcare	$75 - $1,014	17%
Humana	$83 - $158	18%
Self Pay	$173 - $304	38%
Cigna	$342 - $645	76%
Verity Health	$405 - $710	90%
Us Dept Of Labor	$520 - $913	115%
Workers Comp	$520 - $913	115%
Aflac	$578 - $1,014	128%
American Health Advantage	$578 - $1,014	128%
Amfirst	$578 - $1,014	128%
Hospice Of Leesville	$578 - $1,014	128%
Industrial	$578 - $1,014	128%
Misc Comm	$578 - $1,014	128%
Mischmoppo	$578 - $1,014	128%
Mutual Of Omaha	$578 - $1,014	128%
Mva	$578 - $1,014	128%
Phcs Private Health	$578 - $1,014	128%
Physicans Mutual	$578 - $1,014	128%
State Farm Insurance	$578 - $1,014	128%
Sterling	$578 - $1,014	128%
Stonetrust	$578 - $1,014	128%
Tri Parish Rehab	$578 - $1,014	128%
United Teacher Asso	$578 - $1,014	128%
Web Tpa	$578 - $1,014	128%
Blue Cross Blue Shield	$673	149%

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 $239.
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 Byrd Regional 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.