CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Healthone Rose

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,680
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Healthone Rose is $14,680. 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 1.15x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,680

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: $14,680 (115%)
Ins. Median: $14,680 (115% 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.

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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
Physician Health Partners $1,680 - $1,975 13%
Blue Cross Blue Shield $2,841 - $27,189 22%
United $3,739 - $29,080 29%
Kaiser $4,253 - $14,973 33%
Rocky Mountain Health Plan $5,097 - $29,080 40%
Cigna $6,430 - $16,636 50%
Aetna $12,417 - $17,911 97%
Bright Health $14,680 115%
Humana $14,680 115%
Rocky Mountain Health $14,680 115%
Total Longterm Care $14,680 115%
Triwest Health Alliance $14,680 115%
Devoted Health $14,973 117%
Innovage Pace $14,973 117%
Wellcare $15,120 118%
Mutual Of Omaha $15,414 120%
Delaware Life Insurance $15,707 123%
Pinnacol Workers Comp $21,039 164%
Multiplan $21,925 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals