CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Valley View Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $14,146
Cash Discount Price: $90,325
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Valley View Medical Center is $14,146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90,325. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.10x the Medicare baseline. Located in 5330 South Highway 95, Fort Mohave, AZ.

Cash / Self-Pay

$90,325

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,146

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%)

Cash / Self-Pay: $90,325 (705%)

Insurance Median: $14,146 (110%)

Cash: $90,325 (705% of Medicare)

Ins. Median: $14,146 (110% 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.

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
Beechstreet	$1,875	15%
Sierra	$3,426 - $14,146	27%
Healthplan Of Nv	$3,455	27%
UnitedHealthcare	$4,329	34%
Wellcare	$13,917	109%
Blue Cross Blue Shield	$14,146 - $33,144	110%
Cigna	$14,146	110%
Coventry	$14,146	110%
Deseret Mutual Benefit Admin (Dmba)	$14,146	110%
Health Choice	$14,146	110%
Healthnet	$14,146	110%
Kaiser	$14,146	110%
Medicare (plans)	$14,146	110%
Pyramid	$14,146	110%
Secure Horizons	$14,146	110%
Sterling	$14,146	110%
Aetna	$14,288	112%
Humana	$14,288	112%
Tricare	$24,077	188%

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 $90,325.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Valley View Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
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.