CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: UF Health Shands Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $20,653
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at UF Health Shands Hospital is $20,653. 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 1.61x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$20,653

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: $20,653 (161%)
Ins. Median: $20,653 (161% 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
Capital Health Plan $7,547 - $18,775 59%
Health First $9,608 - $10,049 75%
UnitedHealthcare $18,603 - $19,526 145%
Vha $18,603 145%
Humana $18,775 - $18,963 147%
Wellcare $18,775 147%
Careplus $19,339 151%
Carelon Health $19,921 156%
Positive Healthcare Partners $20,464 160%
Ahf Mco Of Fl $20,653 161%
Blue Cross Blue Shield $20,653 - $38,472 161%
Devoted Health Plan $20,653 161%
Freedom Health- Inc./Optimum Healthcare- Inc. $20,653 161%
Ghilcrest County $23,254 182%
Levy County $23,254 182%
Avmed $23,663 - $25,972 185%
Florida Health Care Plan $28,032 219%
Wellpath $29,765 232%
Ambetter / Centene $30,881 241%
Cigna $39,378 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals