CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Palmetto General Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,337
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Palmetto General Hospital is $17,337. 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 1.35x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,337

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: $17,337 (135%)
Ins. Median: $17,337 (135% 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
Aetna $2,169 - $17,024 17%
Dimension Health Wc $2,283 18%
Workers Compensation $2,283 18%
Avmed Broad Network $5,082 40%
Humana $5,349 - $16,708 42%
Veterans Administration Mill Bill $12,280 96%
Tricare $12,309 96%
Medicare (plans) $15,499 - $35,857 121%
Bc/Bs Of Fl Miami Dade Blue Select $16,881 132%
Leon Health Inc $17,015 133%
Devoted Health $17,024 133%
UnitedHealthcare $17,024 - $39,404 133%
Cigna $17,187 - $22,615 134%
Ima Evalutations Inc $17,337 135%
Opuscare Of South Fl $17,337 135%
Veterans Administration Vaccn $17,337 135%
Westchester General Hospital $17,337 135%
Florida Pace Centers $17,815 139%
Healthsun Health Plans $17,815 139%
Longevity Health Plan $18,143 142%
Oscar Health Plan Hix $18,700 146%
Molina Marketplace Program Exchange $19,523 152%
Bright Health Management Commercial $20,558 161%
Self Pay/Uninsured $21,280 166%
Employer Direct Healthcare $21,364 167%
Bc/Bs Myblue Hmo Hix $23,073 180%
Bc/Bs Of Fl Health Options Hmo $23,073 180%
Bc/Bs Of Fl Simplyblue $23,073 180%
Naphcare Inc $23,350 182%
Imagine Health $25,823 202%
Bc/Bs Of Fl Network Blue $26,383 206%
Bc/Bs Of Fl Blue Select Exchange Non Par $29,021 227%
Avmed Exchange $29,416 230%
Ambetter / Centene $31,026 242%
Auto Insurance $32,209 251%
Avmed Select Network $34,103 266%
Amerihealth Caritas Next Exchange $35,857 280%
Bc/Bs Of Fl Phs $36,525 285%
Bc/Bs Of Fl Ppo $36,525 285%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals