CMS Price Transparency Data

Blood transfusion

Facility: Ochsner Medical Center-Hancock

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $415
  • Cash Discount Price: $371
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Ochsner Medical Center-Hancock is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.92x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.
Cash / Self-Pay
$371

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $371 (82%)
Insurance Median: $415 (92%)
Cash: $371 (82% of Medicare)
Ins. Median: $415 (92% 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.

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
Medicaid / KanCare $322 - $338 71%
Humana $361 - $401 80%
UnitedHealthcare $379 - $401 84%
Cigna $391 - $401 87%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $401 89%
Medicare (plans) $401 - $421 89%
Aetna $405 - $786 90%
Shared Health Mississippi $421 93%
Mississippi Physicians Care Network $488 108%
Zelis $508 113%
Claritev D/B/A Multiplan/Phcs/American Life Care $625 139%
Ambetter / Centene $642 142%
Healthcomp & Personify Health (Formerly Gilsbar) $684 152%
Select Administrative Services Network $684 152%
Blue Cross Blue Shield $755 - $971 168%
Primewell Health Services Commercial Exchange Plan $1,124 249%
Primewell Health Services – Commercial $1,124 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 149 Drinkwater Blvd, Bay Saint Louis, MS 39520
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals