CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Antelope Valley Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,797
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Antelope Valley Hospital is $18,797. 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 1.47x the Medicare baseline. Located in 1600 W Ave J, Lancaster, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,797

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: $18,797 (147%)

Ins. Median: $18,797 (147% 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
Brand New Day - Medi	$2,207	17%
Blue Cross Blue Shield	$2,366	18%
Blue Shield Of California	$2,370	19%
L.A. Care Health Plan - Medi	$2,500	20%
L.A. Care Health Plan - Pasc	$2,500	20%
Community Family Care Health Plan - Med	$2,600	20%
Heritage Provider Network	$8,078	63%
Aetna	$18,797	147%
Alignment Healthcare	$18,797	147%
Central Health Plan Of California	$18,797	147%
Citizens Choice Healthplan	$18,797	147%
Health Net Of California	$18,797 - $28,196	147%
L.A. Care Health Plan	$18,797	147%
Managed Health Network (Mental Health)	$18,797	147%
Wellcare	$18,797	147%
Humana	$19,173	150%
For Your Benefit	$19,361	151%
Brand New Day	$19,737	154%
Champion Health Plan	$19,737	154%
Aids Foundation	$21,617	169%
Align Senior Care Ca	$21,617	169%
Clever Care Health Plan	$22,557	176%
Ca State Prison	$24,437	191%
Oscar Hp/Providence Health Network	$28,196	220%

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 $X.
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 Antelope Valley Hospital 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.