CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: Adventist Health White Memorial
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $20,962
- Cash Discount Price: $42,960
- vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Adventist Health White Memorial is $20,962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42,960. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.64x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$42,960
Average discount available for prompt cash payment at this facility.
Insurance Median
$20,962
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: $42,960 (335%)
Insurance Median: $20,962 (164%)
Cash: $42,960 (335% of Medicare)
Ins. Median: $20,962 (164% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Care First Medi-Cal | $3,750 | 29% |
| Kindred Ip Only-All Plans | $3,900 | 30% |
| Preferred Ipa La Care Mcal Cap | $4,350 | 34% |
| Blue Shield Medi-Cal | $4,630 | 36% |
| Blue Shield Epn | $6,866 | 54% |
| Blue Shield - All Other Plans | $7,914 | 62% |
| Caremore Mcare - All Plans | $9,336 | 73% |
| Altamed Medi-Cal - All Other Plans | $9,418 | 74% |
| UnitedHealthcare | $11,332 - $22,031 | 88% |
| Hcpamg - All Plans | $11,533 | 90% |
| Healthcare Inc - All Other Plans | $14,236 | 111% |
| Aetna | $16,068 | 125% |
| Access Group | $17,380 | 136% |
| Ahp - All Other Plans | $17,380 | 136% |
| Lasalle Mg Commercial - All Other Plans | $17,380 | 136% |
| Cigna | $17,594 - $19,355 | 137% |
| Blue Cross Blue Shield | $18,507 - $24,666 | 145% |
| Bright Health - All Plans | $18,952 | 148% |
| Blue Shield Mcr Adv | $20,038 | 156% |
| Access Senior - All Other Plans | $20,446 | 160% |
| Ahp Senior | $20,446 | 160% |
| Altamed Connect | $20,446 | 160% |
| Brand New Day Mcare - All Plans | $20,446 | 160% |
| Bs Va Mcare | $20,446 | 160% |
| Care First Mcare - All Other Plans | $20,446 | 160% |
| Clever Care - All Plans | $20,446 | 160% |
| Healthnet Mcr Adv | $20,446 | 160% |
| Humana | $20,446 | 160% |
| Lasalle Mg Senior | $20,446 | 160% |
| Medicare (plans) | $20,446 | 160% |
| Molina Mcare | $20,446 | 160% |
| Preferred Senior | $20,446 | 160% |
| Scan Health Mcare - All Plans | $20,446 | 160% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $20,446 | 160% |
| Tricare | $20,446 | 160% |
| Pacific Alliance Mcare - All Other Plans | $20,855 | 163% |
| Healthnet Comm Care | $20,994 | 164% |
| Intergrated Medical - All Plans | $21,662 | 169% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $21,864 | 171% |
| Avanti Mcr Adv - All Other Plans | $22,627 | 177% |
| Healthnet - All Other Plans | $22,921 | 179% |
| La Care Mcr Adv - All Plans | $23,354 | 182% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $24,536 | 192% |
| Preferred Commercial - All Other Plans | $24,536 | 192% |
| Western Growers/Pinnacle - All Plans | $25,057 | 196% |
| Molina Benefit Exchange - All Other Plans | $27,603 | 216% |
| Php-Prospect Health Plan Cap - All Plans | $29,647 | 231% |
| Pacific Alliance Medi-Cal | $33,754 | 264% |
| Ah Employee Health Plan - All Plans | $36,804 | 287% |
| Access Medi-Cal | $44,177 | 345% |
| Ahp Medi-Cal | $44,177 | 345% |
| Lasalle Mg Medi-Cal | $44,177 | 345% |
| Medi-Cal | $44,177 | 345% |
| Molina Medi-Cal | $44,177 | 345% |
| Pacific Ipa Medi-Cal | $44,177 | 345% |
| Preferred Medi-Cal | $44,177 | 345% |
| Avanti Mcal | $45,012 | 351% |
| Centivo - All Plans | $46,005 | 359% |
| Healthcare Inc Medi-Cal | $46,044 | 360% |
| Alta Los Angeles Mcal 1/1/19 | $50,331 | 393% |
| Bc Medi-Cal | $52,350 | 409% |
| Healthnet Mcal | $52,615 | 411% |
| Preferred Healthy | $55,221 | 431% |
| Pacific Ipa - All Other Plans | $57,784 | 451% |
| Assoc Hispanic Physcns Mcal | $61,848 | 483% |
| Kaiser- All Plans | $97,853 | 764% |
| First Heatlh Ppo - All Plans | $138,426 | 1081% |
| Phcs Ppo - All Plans | $155,133 | 1211% |
| Beech Street - All Plans | $159,906 | 1249% |
| Interplan Ppo - All Plans | $160,172 | 1251% |
| Ahf - All Plans | $179,000 | 1398% |
| Corvel Corp - All Plans | $190,933 | 1491% |
| Multiplan Ppo - All Plans | $198,093 | 1547% |
| Healthmannet - All Plans | $202,866 | 1584% |
| Next Inc Ppo - All Plans | $202,866 | 1584% |
| Trpn - All Plans | $202,866 | 1584% |
| Fpn Ppo - All Plans | $214,800 | 1677% |