CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Parrish Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,088
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Parrish Medical Center is $16,088. 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 1.26x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,088

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: $16,088 (126%)
Ins. Median: $16,088 (126% 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
Florida Health Care Plan $3,136 24%
Corvel Healthcare Corporation $7,000 55%
Veterans $11,378 89%
UnitedHealthcare $14,872 - $39,491 116%
Aetna $14,902 - $29,962 116%
Careplus Health Plans Inc. $14,902 116%
Florida Health Care Plan Commercial $14,902 - $35,413 116%
Freedom Health $14,902 116%
Health First Health Plans $14,902 - $15,021 116%
Humana $14,902 116%
Medicare (plans) $14,902 116%
Blue Cross Blue Shield $15,200 - $48,736 119%
Cigna $15,200 - $33,929 119%
Brevard County Commissioners $15,675 122%
Brevard School Board $16,500 129%
Pmc Hpi Employee Plan $16,792 131%
Pmc Preferred Benefit Administrators $16,792 131%
Webtpa $23,734 185%
Auto $30,342 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals