CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Jfk Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,340
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Jfk Hospital is $16,340. 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 1.28x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,340

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: $16,340 (128%)
Ins. Median: $16,340 (128% 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
Avmed $1,715 - $62,866 13%
Molina $1,834 - $17,133 14%
Sunshine State Health Plan $1,984 - $13,561 15%
Cigna $2,102 - $26,085 16%
Humana $2,139 - $30,314 17%
Medica Healthcare $3,750 29%
United $4,000 - $37,300 31%
Simply Healthcare $14,100 110%
Oscar $14,358 - $16,499 112%
Palm Beach Pace $15,071 118%
Wellmed $15,388 120%
Careplus Sfl $15,864 124%
United Behavioral Health $15,864 124%
Veterans Evaluation Services $15,864 124%
Blue Cross Blue Shield $16,023 - $56,102 125%
Devoted Health $16,181 126%
Mmm Of Fl (Health Advantage Plan) $16,181 126%
Aetna $16,261 - $57,278 127%
Amerihealth Caritas $16,340 - $19,102 128%
Sunshine State $16,340 - $17,451 128%
Health Sun Health Plan $16,499 129%
Longevity Health Plan $16,499 129%
Prominence Healthfirst $16,499 129%
Align $16,816 131%
American Health Plan $16,816 131%
Florida Complete Care $16,816 131%
Freedom Health $16,816 131%
Optimum $16,816 131%
Simply Healthcare Plans $17,133 134%
Aids Healthcare $17,292 135%
Doctors Healthcare Plan $17,292 135%
Centurion $17,451 136%
Gold Kidney $17,768 139%
Solis Health Plan $17,768 139%
Ndms Definitive Care $19,830 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals