CMS Price Transparency Data

Blood transfusion

Facility: Ochsner St Anne General Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $690
Cash Discount Price: $405
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Ochsner St Anne General Hospital is $690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $405. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.53x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$405

Average discount available for prompt cash payment at this facility.

Insurance Median

$690

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: $405 (90%)

Insurance Median: $690 (153%)

Cash: $405 (90% of Medicare)

Ins. Median: $690 (153% 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	$256 - $285	57%
Humana	$274 - $285	61%
UnitedHealthcare	$274 - $730	61%
Healthy Blue (Healthy Louisiana)	$280	62%
Louisiana Healthcare Connections (Healthy Louisiana)	$280	62%
Aetna	$282 - $846	63%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$282	63%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$285	63%
Blue Cross Blue Shield	$285 - $1,320	63%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$285	63%
Medicare (plans)	$285	63%
Ochsner Health Plan	$285	63%
Medicaid / KanCare	$322	71%
Healthcomp & Personify Health (Formerly Gilsbar)	$690	153%
Louisiana Workers' Compensation Corporation (Lwcc)	$690	153%
Mississippi Physicians Care Network	$690	153%
Employers Health Network (Ehn)	$782	173%
First Health Network	$782	173%
Prime Health Services Ppo	$782	173%
Claritev D/B/A Multiplan/Phcs/American Life Care	$828	184%
Usa Managed Care Network	$828	184%
Zelis	$828	184%
Cigna	$880	195%

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 $405.
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 Ochsner St Anne General 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.