CMS Price Transparency Data

Blood transfusion

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $462
Cash Discount Price: $932
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Surgical Specialty Center of Baton Rouge is $462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $932. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.03x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$932

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: $932 (207%)

Insurance Median: $462 (103%)

Cash: $932 (207% 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
Ehn	$56	12%
Aetna	$187 - $411	41%
Amerihealth	$187	41%
Healthy_Blue	$187	41%
Humana	$187 - $603	41%
Lhc	$187	41%
Medicaid / KanCare	$187	41%
United_Caid	$187	41%
Cigna	$387	86%
Blue Cross Blue Shield	$399 - $481	89%
Medadv-Peoples	$399	89%
Medicare (plans)	$399	89%
Tricare	$399	89%
UnitedHealthcare	$399	89%
Va	$403	89%
Wellcare	$419	93%
Verity	$435	97%
Lucent	$559	124%
Gilsbar	$609	135%
Multiplan-Pos	$745	165%
Multiplan-Ppo	$745	165%
Ppoplus	$758	168%
Stjude	$807	179%
Ambetter / Centene	$834	185%
Bayou-Med	$869	193%
Dma	$869	193%
Lsu	$869	193%
Southern-Univ	$869	193%
Womans_Hosp	$869	193%
Workcomp_Saints	$919	204%
Reny	$932	207%
Workcomp_3R	$1,006	223%
Three_Rivers	$1,056	234%
Workcomp_Strat	$1,056	234%
Geha	$1,093	242%
Workcomp_Fp	$1,118	248%
Usa_Mco	$1,167	259%

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 $932.
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 Surgical Specialty Center of Baton Rouge 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.