CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Tampa General Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $22,960
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Tampa General Hospital is $22,960. 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 1.79x the Medicare baseline. Located in 1 Tampa General Cir, Tampa, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$22,960

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: $22,960 (179%)

Ins. Median: $22,960 (179% 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
Freedom Health	$14,518 - $18,443	113%
Capital Health Plan Tallahassee	$18,082	141%
Aetna	$18,262 - $43,842	143%
Care Plus Health Plans	$18,371	143%
Blue Cross Blue Shield	$18,376 - $50,776	143%
Humana	$18,443	144%
Molina Healthcare	$18,443	144%
Optimum Healthcare	$18,443	144%
UnitedHealthcare	$18,443 - $36,801	144%
Wellmed	$18,443	144%
Baycare	$18,624	145%
Wellcare	$18,624	145%
Ultimate Health Plans	$18,986	148%
Simply Healthcare	$19,166 - $30,377	150%
Cigna	$19,347 - $45,211	151%
Sunshine Health	$19,347 - $28,930	151%
Longevity	$19,709	154%
Kaiser	$19,890	155%
Devoted Health	$20,251	158%
Global Excel Management	$21,698 - $27,122	169%
Truli For Health	$23,506	184%
Molina	$27,122	212%
Employers Health Network	$27,867	218%
Avmed	$28,513 - $32,285	223%
Health First Health Plans	$32,547	254%
Oscar	$34,510	269%

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 $X.
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 Tampa General 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.