CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,408

about 1.4× the $12,807 Medicare rate · typically $15,807–$19,978

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,546

About the fair price

about $138 over the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $17,408 This hospital $17,546

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $11,438 Priciest $17,546

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $17,408 (about 1.4× the $12,807 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $17,546 — about the fair price. Located in Sanford, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,222 - $48,841	33%
Blue Cross Blue Shieldmajor	$16,184 - $63,070	126%
Aetnamajor	$16,425 - $42,744	128%
Cignamajor	$2,834 - $36,275	22%
Humanamajor	$7,247 - $66,254	57%
AvMed	$16,825 - $60,289	131%
Devoted Health	$16,345	128%
Molina	$2,201 - $16,986	17%
Oscar Health	$23,927	187%
Simply Healthcare	$17,202	134%
WellCare	$17,226	135%
WellMed	$15,704	123%
+ 20 smaller / regional plans	$2,348 - $30,914

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Central Florida Lake Monroe Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Central Florida Lake Monroe Hospital

Compare: Heart stent placement (inpatient stay) at other FL hospitals

Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,438
Ascension Sacred Heart Gulf · Port Saint Joe $11,481
Sacred Heart Hospital · Pensacola $11,706
Gulf Breeze Hospital · Gulf Breeze $12,779
Jay Hospital · Jay $13,657
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $13,759
Villages Regional Hospital, The · The Villages $13,884
HCA Florida Fawcett Hospital · Port Charlotte $14,018

Insurance negotiated median for the same procedure, sorted lowest first.