CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Francis Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,672
Cash Discount Price: $17,671
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Saint Francis Medical Center is $17,672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,671. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.38x the Medicare baseline. Located in 3630 East Imperial Highway, Lynwood, CA.

Cash / Self-Pay

$17,671

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,672

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: $17,671 (138%)

Insurance Median: $17,672 (138%)

Cash: $17,671 (138% of Medicare)

Ins. Median: $17,672 (138% 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
Alignment	$17,672	138%
Altamed	$17,672	138%
Avanti Hospitals, Llc	$17,672	138%
Blue Shield Of Ca, Va	$17,672	138%
Blue Shield Of Promise	$17,672	138%
Elite Health Plan	$17,672	138%
Health Net Of Ca	$17,672 - $28,717	138%
Kaiser Hospital Foundation	$17,672	138%
La Care Health Plan	$17,672 - $21,206	138%
Medicare (plans)	$17,672	138%
Molina	$17,672	138%
Renal Payer Solutions	$17,672	138%
UnitedHealthcare	$17,672 - $34,766	138%
Welbe Health Pace	$17,672	138%
Brand New Day	$17,849 - $20,407	139%
Aids Healthcare Foundation	$18,025	141%
Imperial Health Plan Of Ca	$18,732	146%
Aetna	$23,857	186%
Tricare	$29,346	229%
Multiplan	$31,632	247%
Coventry Healthcare Wc, Inc.	$33,744	263%
Worker Comp	$34,788	272%

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 $17,671.
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 Saint Francis 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.