CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Blake Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,695
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Blake Hospital is $16,695. 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 1.30x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,695

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: $16,695 (130%)
Ins. Median: $16,695 (130% 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 - $17,435 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%
Simply Healthcare $15,652 - $17,270 122%
Wellmed $16,119 126%
Careplus $16,283 - $18,915 127%
Access 2 Healthcare Physicians Freedom Optimum Group Members $16,448 128%
Behealthy America $16,448 128%
Ultimate Health Plan $16,448 128%
United Va Ccn $16,448 128%
Access 2 Healthcare Physicians Freedom Health $16,612 130%
Access 2 Healthcare Physicians Optimum $16,612 130%
Aetna $16,612 - $61,563 130%
Blue Cross Blue Shield $16,612 - $61,656 130%
Freedom Health Care $16,612 130%
Optimum Healthcare $16,612 130%
Devoted Health $16,777 131%
Align Senior Care $16,941 132%
Florida Complete Care $16,941 132%
American Health Plan $17,435 136%
Clear Spring Health $17,599 137%
Secur $17,764 139%
Gold Kidney Of Florida $17,928 140%
Centurion $18,093 141%
Oscar $18,607 145%
Sunshine State $19,491 152%
Wellcare $19,491 152%
Evolutions Healthcare Systems $20,186 158%
Ndms Definitive Care $20,560 161%
Truli $23,518 - $32,393 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals