CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Trinity Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,225
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Trinity Hospital is $17,225. 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 1.34x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,225

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: $17,225 (134%)
Ins. Median: $17,225 (134% 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 - $18,077 14%
Avmed $2,215 - $60,290 17%
Sunshine State Health Plan $2,381 - $11,906 19%
Cigna $3,130 - $34,498 24%
United $4,000 - $32,769 31%
Humana $4,363 - $36,351 34%
Simply Healthcare $13,818 - $17,907 108%
Careplus $16,542 129%
Wellmed $16,713 130%
Access 2 Healthcare Physicians Freedom Optimum Group Members $17,054 133%
Sunshine State $17,054 133%
Ultimate Health Plan $17,054 133%
United Behavioral Health $17,054 133%
United Va Ccn $17,054 133%
Wellcare $17,054 133%
Oscar $17,150 134%
Access 2 Healthcare Physicians Freedom Health $17,225 134%
Access 2 Healthcare Physicians Optimum $17,225 134%
Aetna $17,225 - $61,563 134%
Blue Cross Blue Shield $17,225 - $66,166 134%
Freedom Health Care $17,225 134%
Optimum Healthcare $17,225 134%
Devoted Health $17,395 136%
American Health Plan $18,077 141%
Align Senior Care $18,418 144%
Florida Complete Care $18,418 144%
Longevity Health Plan $18,418 144%
Secur $18,418 144%
Gold Kidney Of Florida $18,589 145%
Centurion $18,759 146%
Pasco Sheriff'S Office $18,759 146%
Solis Health Plan $18,759 146%
Baycare Health Plans $19,271 150%
Evolutions Healthcare Systems $20,186 158%
Ndms Definitive Care $21,318 166%
Truli $26,904 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals