CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,575
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Sarasota Doctors Hospital is $14,575. 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 1.14x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,575

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: $14,575 (114%)
Ins. Median: $14,575 (114% 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
Molina $1,834 - $15,296 14%
Avmed $1,845 - $60,290 14%
Sunshine State Health Plan $2,381 - $11,906 19%
Cigna $2,999 - $33,029 23%
United $4,000 - $32,769 31%
Humana $4,363 - $36,351 34%
Healthcare Sarasota $6,000 47%
Wellmed $14,142 110%
Access 2 Healthcare Physicians Freedom Optimum Group Members $14,430 113%
Behealthy America $14,430 113%
Ultimate Health Plan $14,430 113%
United Behavioral Health $14,430 113%
United Va Ccn $14,430 113%
Access 2 Healthcare Physicians Freedom Health $14,575 114%
Access 2 Healthcare Physicians Optimum $14,575 114%
Aetna $14,575 - $61,563 114%
Blue Cross Blue Shield $14,575 - $59,071 114%
Freedom Health Care $14,575 114%
Optimum Healthcare $14,575 114%
Clear Spring Health $15,152 118%
Simply Healthcare $15,152 - $15,652 118%
American Health Plan $15,296 119%
Secur $15,585 122%
Align Senior Care $15,729 123%
Florida Complete Care $15,729 123%
Gold Kidney Of Florida $15,729 123%
Centurion $15,873 124%
Sunshine State $17,100 134%
Wellcare $17,100 134%
Ndms Definitive Care $18,038 141%
Oscar $18,607 145%
Truli $19,348 - $25,427 151%
Evolutions Healthcare Systems $20,186 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals