CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Shasta Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $19,300
Cash Discount Price: $17,587
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Shasta Regional Medical Center is $19,300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,587. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.51x the Medicare baseline. Located in 1100 Butte St, Redding, CA.

Cash / Self-Pay

$17,587

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,300

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: $17,587 (137%)

Insurance Median: $19,300 (151%)

Cash: $17,587 (137% of Medicare)

Ins. Median: $19,300 (151% 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
Astiva Health Inc	$16,710	130%
Health Net Of Ca	$16,710 - $38,042	130%
Managed Health Network	$16,710	130%
Renal Payer Solutions	$16,710	130%
UnitedHealthcare	$16,710	130%
Blue Shield Of Va	$17,588	137%
Medicare (plans)	$17,588	137%
Tricare	$17,588 - $29,728	137%
Imperial Health Plan	$17,712	138%
Prison	$20,887	163%
Health Net Federal Services	$21,985	172%
Employer Direct Healthcare	$22,864	179%
Worker Comp	$27,140	212%
National Healthcare Solutions, Inc (Nhsi)	$28,140	220%
Aetna	$31,968	250%
Bethel Church Of Redding	$43,969	343%

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 $17,587.
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 Shasta Regional 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.