CMS Price Transparency Data

Blood transfusion

Facility: Ochsner Watkins Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $467
  • Cash Discount Price: $529
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Ochsner Watkins Hospital is $467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 605 South Archusa Avenue, Quitman, MS.
Cash / Self-Pay
$529

Average discount available for prompt cash payment at this facility.

Insurance Median
$467

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: $529 (117%)
Insurance Median: $467 (104%)
Cash: $529 (117% of Medicare)
Ins. Median: $467 (104% 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
UnitedHealthcare $178 - $458 39%
Medicaid / KanCare $322 - $338 71%
Humana $369 - $458 82%
Cigna $439 - $458 97%
Medicare (plans) $458 - $526 102%
Ambetter / Centene $462 103%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $462 103%
Shared Health Mississippi $480 106%
Aetna $513 114%
Prime Health Services Ppo -Workers Comp $517 115%
Cor Vel $527 117%
Select Administrative Services Network $552 122%
Claritev D/B/A Multiplan/Phcs/American Life Care $592 131%
Zelis $592 131%
Blue Cross Blue Shield $631 140%
Prime Health Services Ppo $631 140%
Primewell Health Services Commercial Exchange Plan $647 144%
Primewell Health Services – Commercial $647 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 South Archusa Avenue, Quitman, MS 39355
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals