CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Hartford Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $24,813
Cash Discount Price: $83,544
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Hartford Hospital is $24,813. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83,544. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.94x the Medicare baseline. Located in 80 Seymour Street, Hartford, CT.

Cash / Self-Pay

$83,544

Average discount available for prompt cash payment at this facility.

Insurance Median

$24,813

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: $83,544 (652%)

Insurance Median: $24,813 (194%)

Cash: $83,544 (652% of Medicare)

Ins. Median: $24,813 (194% 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
Blue Cross Blue Shield	$10,533 - $29,280	82%
Health New England	$10,533	82%
Molina DBA Connecticare	$10,533 - $33,730	82%
Tufts	$10,533	82%
United	$10,533 - $27,666	82%
Wellcare	$10,744	84%
Aetna	$10,796 - $51,504	84%
Cigna	$28,770	225%
Oxford	$29,000	226%

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 $83,544.
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 Hartford Hospital 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.