CMS Price Transparency Data

Blood transfusion

Facility: Ochsner Laird Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $510
Cash Discount Price: $481
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Ochsner Laird Hospital is $510. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.13x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$481

Average discount available for prompt cash payment at this facility.

Insurance Median

$510

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: $481 (107%)

Insurance Median: $510 (113%)

Cash: $481 (107% of Medicare)

Ins. Median: $510 (113% 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
UnitedHealthcare	$178 - $497	39%
Medicaid / KanCare	$322 - $338	71%
Humana	$406 - $497	90%
Cigna	$439 - $497	97%
Medicare (plans)	$497 - $572	110%
Ambetter / Centene	$502	111%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$502	111%
Aetna	$513	114%
Prime Health Services Ppo -Workers Comp	$517	115%
Shared Health Mississippi	$522	116%
Cor Vel	$527	117%
Blue Cross Blue Shield	$552 - $971	122%
Select Administrative Services Network	$552	122%
Claritev D/B/A Multiplan/Phcs/American Life Care	$592	131%
Zelis	$592	131%
Prime Health Services Ppo	$631	140%
Primewell Health Services - Commercial	$663	147%
Primewell Health Services Commercial Exchange Plan	$663	147%

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 $481.
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 Laird 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.