CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: Garfield Medical Center
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $13,188
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Garfield Medical Center is $13,188. 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 1.03x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$13,188
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: $13,188 (103%)
Ins. Median: $13,188 (103% 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 |
|---|---|---|
| Molina Medical Group | $1,350 | 11% |
| Allied Physicians Risk Pool | $1,355 | 11% |
| Pipa Risk Pool Agreement | $1,480 | 12% |
| UnitedHealthcare | $1,500 - $18,525 | 12% |
| Physician Healthways Medical Corporation | $1,558 | 12% |
| Health Net | $1,600 - $28,358 | 12% |
| Scan Health Plan Sr Hmo | $1,620 | 13% |
| La Care Health Plan | $1,700 - $18,525 | 13% |
| Care 1St Health Plan | $1,750 | 14% |
| Ahmc Healthcare Inc | $1,937 - $10,855 | 15% |
| Private Pay | $2,000 | 16% |
| Allied Physicians Risk Pool Agreement | $2,450 - $4,600 | 19% |
| Aetna | $2,574 - $18,525 | 20% |
| One Legacy | $3,000 | 23% |
| Blue Shield Of California | $3,885 - $18,868 | 30% |
| Blue Cross Blue Shield | $3,909 - $18,868 | 31% |
| Blue Shield | $4,332 - $18,525 | 34% |
| Ahmc Health Epo | $4,797 | 37% |
| Pacificare Ppo | $8,420 | 66% |
| Pacificare Of California Inc | $11,776 | 92% |
| Cigna | $11,948 | 93% |
| Fmc Los Angeles Co Epo | $13,188 | 103% |
| Interplan | $13,188 - $32,593 | 103% |
| Veterans Administration | $13,207 | 103% |
| Humana | $18,155 | 142% |
| Aids Health Foundation | $18,525 | 145% |
| Apa Aco Inc | $18,525 | 145% |
| Avanti | $18,525 - $22,641 | 145% |
| Beverly Hospital | $18,525 - $20,755 | 145% |
| Central Health Plan | $18,525 | 145% |
| Cms | $18,525 | 145% |
| Easy Choice Health Plan | $18,525 | 145% |
| Non-Contract Medi-Care | $18,525 | 145% |
| Pacific Alliance Medical Center Comm/Sr | $18,525 | 145% |
| Brand New Day | $18,868 - $23,585 | 147% |
| Cv-19 Hrsa Uninsured Testing And Tx | $18,868 | 147% |
| Emanate Health | $18,868 - $23,585 | 147% |
| First Health Network | $18,868 | 147% |
| La Care Covered Direct | $18,868 | 147% |
| Self-Pay | $18,868 | 147% |
| Ucla Impact Dept Of Uncology | $18,868 | 147% |
| Alignment Health Plan | $19,451 | 152% |
| Molina Healthcare | $19,451 | 152% |
| Molina Healthcare Of California | $19,451 - $23,585 | 152% |
| Inter Valley Health Plan | $19,811 | 155% |
| National Disaster Medical System | $20,755 | 162% |
| San Miguel Health Plan | $20,755 | 162% |
| Health Net Comm/Hmo | $21,528 - $33,830 | 168% |
| Health Net Inc | $21,528 | 168% |
| Chinatown Service Center Pace | $22,641 | 177% |
| Knox-Keene Act | $23,585 | 184% |
| Preferred Health Network | $31,921 | 249% |
| Athens Administrators | $33,601 | 262% |
| Multiplan | $33,601 | 262% |
| Other Non-Contracted Workers Compensation | $33,601 | 262% |