CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Brandon Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $18,748
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Brandon Hospital is $18,748. 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 1.46x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,748

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: $18,748 (146%)
Ins. Median: $18,748 (146% 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 - $19,579 14%
Avmed $1,845 - $60,290 14%
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%
Hillsborough County $7,186 56%
Simply Healthcare $12,970 - $19,764 101%
Oscar $17,150 134%
Wellmed $18,101 141%
Access 2 Healthcare Physicians Freedom Optimum Group Members $18,471 144%
Lifepath Hospice $18,471 144%
Ultimate Health Plan $18,471 144%
United Behavioral Health $18,471 144%
United Va Ccn $18,471 144%
Access 2 Healthcare Physicians Freedom Health $18,656 146%
Access 2 Healthcare Physicians Optimum $18,656 146%
Aetna $18,656 - $61,562 146%
Blue Cross Blue Shield $18,656 - $65,316 146%
Freedom Health Care $18,656 146%
Optimum Healthcare $18,656 146%
Careplus $18,840 147%
Devoted Health $18,840 147%
Clear Spring Health $19,394 151%
American Health Plan $19,579 153%
Align Senior Care $19,764 154%
Florida Complete Care $19,764 154%
Longevity Health Plan $19,948 156%
Secur $19,948 156%
Gold Kidney Of Florida $20,133 157%
Evolutions Healthcare Systems $20,186 158%
Centurion $20,318 159%
Solis Health Plan $20,318 159%
Baycare Health Plans $20,872 163%
Truli $21,097 165%
Sunshine State $21,703 169%
Wellcare $21,703 169%
Ndms Definitive Care $23,089 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals