CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Desert Valley Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,848
Cash Discount Price: $17,847
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Desert Valley Hospital is $17,848. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,847. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.39x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.

Cash / Self-Pay

$17,847

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,848

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: $17,847 (139%)

Insurance Median: $17,848 (139%)

Cash: $17,847 (139% of Medicare)

Ins. Median: $17,848 (139% 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
Blue Shield Of Ca	$16,963	132%
Aetna	$17,134 - $28,138	134%
Alignment	$17,134	134%
Blue Cross Blue Shield	$17,134	134%
Blue Shield Of Promise	$17,134	134%
Choice Physicians Network	$17,134	134%
Elite Health Plan	$17,134	134%
Epic Health Plan	$17,134 - $24,987	134%
Health Net Of Ca	$17,134 - $32,983	134%
Heritage Victor Valley Medical Group	$17,134 - $23,202	134%
High Desert Pace	$17,134	134%
High Desert Primary Care	$17,134 - $28,557	134%
Inland Empire Health Plan	$17,134 - $22,310	134%
Medicare (plans)	$17,134 - $17,848	134%
Molina	$17,134 - $17,848	134%
Renal Payor Solutions	$17,134	134%
The Geo Group Inc	$17,134	134%
UnitedHealthcare	$17,134	134%
Vantage Care	$17,134	134%
Brand New Day	$17,306	135%
Inland Empire Foundation For Medical Care	$17,848	139%
Tricare	$17,848 - $30,061	139%
Imperial Health Plan Of Ca	$18,162	142%
Employer Direct Healthcare	$23,202	181%
Wellpath	$23,645	185%
Naphcare	$24,987	195%
Prime Health Services Inc	$27,703	216%
National Healthcare Solutions, Inc (Nhsi)	$28,557	223%
Workers Compensation	$29,008	226%

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 $17,847.
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 Desert 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.