CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Longmont United Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,875
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Longmont United Hospital is $15,875. 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 1.24x the Medicare baseline. Located in 1950 Mountain View Ave, Longmont, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,875

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: $15,875 (124%)
Ins. Median: $15,875 (124% 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.

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
Direct To Employer $15,049 - $24,406 118%
Aetna $15,875 - $44,040 124%
Blue Cross Blue Shield $15,875 - $30,140 124%
Cigna $15,875 124%
Denver Health $15,875 124%
Devoted Health $15,875 124%
Humana $15,875 124%
Innovage $15,875 124%
Kaiser $15,875 - $23,433 124%
Medicare (plans) $15,875 124%
True Pace $15,875 124%
UnitedHealthcare $15,875 - $70,647 124%
United Colorado Doctor'S Plan $45,677 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1950 Mountain View Ave, Longmont, CO 80501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals