CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,947
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Lawnwood Hospital is $15,947. 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 1.25x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,947

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: $15,947 (125%)
Ins. Median: $15,947 (125% 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
Physician Health Partners $1,680 - $1,975 13%
Avmed $1,715 - $69,852 13%
Molina $1,834 - $17,127 14%
Sunshine State Health Plan $2,331 - $11,652 18%
Blue Cross Blue Shield $2,841 - $74,878 22%
United $3,458 - $71,000 27%
Kaiser $4,200 - $15,869 33%
Cigna $4,535 - $42,927 35%
Humana $4,630 - $55,555 36%
Rocky Mountain Health Plan $5,093 - $29,057 40%
Aetna $12,417 - $127,055 97%
Bright Health $15,558 121%
Rocky Mountain Health $15,558 121%
Total Longterm Care $15,558 121%
Triwest Health Alliance $15,558 121%
Wellmed $15,673 122%
Devoted Health $15,869 - $16,481 124%
Innovage Pace $15,869 124%
Delaware Life Insurance $16,024 125%
Mutual Of Omaha $16,024 125%
Wellcare $16,024 125%
United Behavioral Health $16,158 126%
Veterans Evaluation Services $16,158 126%
Sunshine State $16,319 - $17,773 127%
Florida Complete Care $16,481 129%
Longevity Health Plan $16,481 129%
Ultimate Health Plan $16,481 129%
Freedom Health $16,804 131%
Health Sun Health Plan $16,804 131%
Optimum $16,804 131%
Careplus $16,966 - $18,581 132%
American Health Plan $17,127 134%
Simply Healthcare Plans $17,450 136%
Centurion $17,773 139%
Solis Health Plan $18,420 144%
Ndms Definitive Care $20,197 158%
Pinnacol Workers Comp $23,007 180%
Oscar $23,136 181%
Multiplan $23,976 187%
Simply Healthcare $24,955 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals