CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Honor Health John C. Lincoln Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,860
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Honor Health John C. Lincoln Medical Center is $14,860. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.16x the Medicare baseline. Located in 250 East Dunlap Avenue, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,860

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $14,860 (116%)
Ins. Median: $14,860 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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
Aetna $14,860 - $33,083 116%
Allwell $14,860 116%
Az Health Advantage $14,860 116%
Azpc $14,860 116%
Banner $14,860 116%
Banner University Health Plan $14,860 116%
Blue Cross Blue Shield $14,860 - $60,450 116%
Cigna $14,860 - $28,823 116%
Devoted Health $14,860 116%
Gold Kidney Of Arizona $14,860 116%
Health Choice $14,860 - $22,587 116%
Humana $14,860 - $24,878 116%
Imperial Health $14,860 116%
Mercy Care Plan $14,860 116%
Molina $14,860 116%
Scan Desert Health Plan $14,860 116%
Triwest $14,860 116%
Wellcare $14,860 116%
UnitedHealthcare $15,009 - $29,345 117%
Oscar Health Plan $16,548 129%
Ambetter / Centene $20,804 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 East Dunlap Avenue, Phoenix, AZ 85020
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals