CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,568
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Healthone Presbyterian St Luke's is $15,568. 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 1.22x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,568

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: $15,568 (122%)
Ins. Median: $15,568 (122% 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
Physician Health Partners $1,680 - $1,975 13%
Blue Cross Blue Shield $2,841 - $48,377 22%
Kaiser $3,000 - $15,879 23%
Cigna $3,402 - $23,194 27%
United $4,691 - $29,080 37%
Rocky Mountain Health Plan $6,825 - $29,080 53%
Aetna $12,417 - $17,911 97%
UnitedHealthcare $13,233 103%
Bright Health $15,568 122%
Humana $15,568 122%
Kaiser National Transplant $15,568 122%
Rocky Mountain Health $15,568 122%
Total Longterm Care $15,568 122%
Triwest Health Alliance $15,568 122%
Devoted Health $15,879 124%
Innovage Pace $15,879 124%
Delaware Life Insurance $16,035 125%
Wellcare $16,035 125%
Mutual Of Omaha $16,346 128%
Pinnacol Workers Comp $21,667 169%
Multiplan $22,579 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals