CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida West Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,597
  • 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 West Hospital is $16,597. 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 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,597

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: $16,597 (130%)
Ins. Median: $16,597 (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 Healthcare $2,201 - $16,215 17%
Sunshine State Health Plan $2,348 - $11,736 18%
Cigna $2,374 - $99,055 19%
Pensacola Christian $3,190 25%
Humana $4,954 - $59,438 39%
United $6,746 - $49,587 53%
Wellmed $14,991 117%
Triwest Healthcare Alliance $15,144 118%
United Behavioral Health $15,297 119%
Blue Cross Blue Shield $15,450 - $50,191 121%
Ultimate Health Plan $15,603 122%
Aetna $15,679 - $32,976 122%
Simply $16,062 125%
American Health Plan $16,215 127%
Healthspring Of Florida $16,368 128%
Freedom Health $16,521 129%
Gold Kidney Of Florida $16,674 130%
Centurion $16,827 131%
Sunshine State $16,903 132%
Wellcare $16,903 132%
Oscar $17,038 133%
Longevity Health Plan $17,133 134%
Simply Healthcare $17,202 134%
Align Senior Care $17,592 137%
Florida Complete Care $17,592 137%
Ndms Definitive Care $19,121 149%
Naphcare $29,829 233%
Seven Corners $29,829 - $36,713 233%
Avmed $39,921 - $43,853 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals