CMS Price Transparency Data

Blood transfusion

Facility: Bayou Bend Health System

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $458
Cash Discount Price: $456
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Bayou Bend Health System is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.02x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$456

Average discount available for prompt cash payment at this facility.

Insurance Median

$458

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: $456 (101%)

Insurance Median: $458 (102%)

Cash: $456 (101% of Medicare)

Ins. Median: $458 (102% 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
Tricare	$32 - $558	7%
UnitedHealthcare	$33 - $869	7%
Aetna	$35 - $844	8%
Blue Cross Blue Shield	$35 - $873	8%
Dignity Mcr Adv Ip/Op Only-All Plans	$35 - $620	8%
Humana	$35 - $807	8%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$35 - $620	8%
Verity Healthnet Mcr Adv Ip/Op Only	$35 - $620	8%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$35 - $620	8%
Ambetter / Centene	$40 - $714	9%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$49 - $873	11%
La Health Mcaid Ip/Op Only	$49 - $873	11%
Verity Healthnet Mcaid Ip/Op Only	$49 - $873	11%
Diocese Of Lafaytte Ip/Op Only-All Plans	$52 - $931	12%
Gilsbar 360 Ip/Op Only-All Plans	$52 - $931	12%
Verity Healthnet Ip/Op Only-All Other Plans	$52 - $931	12%
Ccn/First Health Ip/Op Only-All Plans	$56 - $993	12%
Integrated Hp Multiplan Ip/Op Only-All Plans	$56 - $993	12%
Ppo Plus / Zelis Ip/Op Only-All Plans	$56 - $993	12%
Geha Ppo Ip/Op Only-All Plans	$60 - $1,055	13%
Usa Mco Ip/Op Only-All Plans	$60 - $1,055	13%
Galaxy Ip/Op Only-All Plans	$63 - $1,117	14%

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 $456.
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 Bayou Bend Health System 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.