CMS Price Transparency Data

Blood transfusion

Facility: Baptist Beaumont Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $443
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Baptist Beaumont Hospital is $443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.98x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$443

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: $125 (28%)
Insurance Median: $443 (98%)
Cash: $125 (28% of Medicare)
Ins. Median: $443 (98% 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
Americhoice - All Plans $91 - $105 20%
Amerigroup - All Plans $91 - $105 20%
Community Health Choice - All Plans $91 - $105 20%
Medicaid / KanCare $91 - $137 20%
Tchp Chips - All Plans $91 - $105 20%
Beacon Health - All Plans $105 - $121 23%
Signature Health - All Plans $284 - $329 63%
Blue Cross Blue Shield $318 - $443 71%
Aetna $443 - $883 98%
Ameri-Plus Ppo-All Plans $443 98%
Cigna $443 - $1,194 98%
Superior Health Plan Mcr Adv $443 98%
Texan Plus-All Plans $443 98%
Central Healthcare Services - All Plans $454 - $527 101%
Humana $454 - $4,385 101%
Mhhnp-All Plans $454 - $527 101%
Superior Health Plan Comm - All Other Plans $510 113%
Texas Exchange Plans - All Plans $510 113%
Pponext - All Plans $591 - $685 131%
Correctcare - All Plans $665 148%
Naphcare Inc - All Plans $665 148%
Texas School Health Benefits - All Plans $665 148%
First Health - All Plans $682 - $790 151%
Healthsmart - All Plans $682 - $790 151%
Managed Healthcare Inc - All Plans $682 - $790 151%
Blue Bell - All Plans $727 - $843 161%
Preferred Care Services - All Plans $753 167%
Phcs - All Plans $758 168%
Multiplan - All Plans $796 177%
Brookshire Brothers - All Plans $997 221%
Imagine Healthcare (Smartcare) - All Plans $1,030 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals