CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Westside Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,386
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Westside Regional Medical Center is $18,386. 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 1.44x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,386

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: $18,386 (144%)

Ins. Median: $18,386 (144% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $18,912	14%
Sunshine State Health Plan	$2,017 - $13,883	16%
Cigna	$2,102 - $26,085	16%
Humana	$2,139 - $30,314	17%
Avmed	$2,825 - $62,866	22%
United	$3,000 - $37,300	23%
Medica Healthcare	$3,500	27%
Simply Healthcare	$14,100	110%
Oscar	$14,358 - $18,561	112%
Wellmed	$16,985	133%
Careplus Sfl	$17,511	137%
Veterans Evaluation Services	$17,511	137%
Blue Cross Blue Shield	$17,686 - $54,388	138%
Devoted Health	$17,861	139%
Aetna	$17,948 - $57,278	140%
Health Sun Health Plan	$18,211	142%
Simply Healthcare Plans	$18,386	144%
Sunshine State	$18,386 - $19,262	144%
American Health Plan	$18,561	145%
Freedom Health	$18,561	145%
Mmm Of Fl (Health Advantage Plan)	$18,561	145%
Optimum	$18,561	145%
Amerihealth Caritas	$18,735 - $18,736	146%
Longevity Health Plan	$18,736	146%
Prominence Healthfirst	$18,736	146%
Align	$18,912	148%
Florida Complete Care	$18,912	148%
Aids Healthcare	$19,087	149%
Centurion	$19,262	150%
Doctors Healthcare Plan	$19,437	152%
Gold Kidney	$19,612	153%
Solis Health Plan	$19,962	156%
Ndms Definitive Care	$21,888	171%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Westside Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.