CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Memorial Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,817
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Memorial Hospital is $15,817. 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 1.24x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,817

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: $15,817 (124%)
Ins. Median: $15,817 (124% 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 $1,440 - $38,367 11%
Molina Healthcare $1,834 - $11,098 14%
Cigna $2,109 - $34,814 16%
Sunshine State Health Plan $2,348 - $11,736 18%
Humana $4,406 - $47,702 34%
United $5,749 - $44,816 45%
Simply Healthcare $13,677 - $16,443 107%
Hospice Community $14,094 110%
United Behavioral Health $15,660 122%
Veterans Evaluation Services $15,660 122%
Vitas Hospice $15,660 122%
Wellcare $15,738 123%
Wellmed $15,738 123%
Aetna $15,817 - $39,095 124%
Blue Cross Blue Shield $15,817 - $49,855 124%
Careplus $15,817 - $18,009 124%
Sunshine State $15,817 124%
Devoted Health $15,973 125%
Gold Kidney $16,130 126%
Optimum Healthcare $16,287 127%
American Health Plan $16,600 130%
Florida Complete Care $16,913 132%
Positive Healthcare $17,070 133%
Longevity $17,226 135%
Oscar $17,251 135%
Ndms Definitive Care $19,575 153%
Corizon $20,358 159%
Centurion $22,081 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals