CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Citrus Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,559
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Citrus Hospital is $16,559. 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 1.29x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,559

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: $16,559 (129%)
Ins. Median: $16,559 (129% 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
Molina $1,834 - $17,379 14%
Avmed $2,215 - $60,290 17%
Sunshine State Health Plan $2,381 - $11,906 19%
Cigna $2,999 - $33,029 23%
United $4,000 - $32,769 31%
Humana $4,363 - $36,351 34%
Simply Healthcare $13,818 108%
Wellmed $16,067 125%
Access 2 Healthcare Physicians Freedom Health $16,395 128%
Access 2 Healthcare Physicians Freedom Optimum Group Members $16,395 128%
Access 2 Healthcare Physicians Optimum $16,395 128%
Freedom Health Care $16,395 128%
Optimum Healthcare $16,395 128%
Ultimate Health Plan $16,395 128%
United Behavioral Health $16,395 128%
United Va Ccn $16,395 128%
Aetna $16,559 - $61,563 129%
Blue Cross Blue Shield $16,559 - $66,166 129%
Oscar $17,150 134%
American Health Plan $17,379 136%
Secur $17,707 138%
Align Senior Care $17,871 140%
Florida Complete Care $17,871 140%
Gold Kidney Of Florida $17,871 140%
Centurion $18,035 141%
Sunshine State $18,281 143%
Wellcare $18,281 143%
Truli $18,360 - $26,904 143%
Evolutions Healthcare Systems $20,186 158%
Ndms Definitive Care $20,494 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals