CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Memorial Hospital Miramar

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $22,384
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Memorial Hospital Miramar is $22,384. 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 1.75x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$22,384

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: $22,384 (175%)
Ins. Median: $22,384 (175% 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
Broward County $2,726 21%
Avmed $12,315 - $23,890 96%
Community Care Plan $14,706 115%
Molina $15,000 117%
Aetna $15,561 - $21,961 122%
Amerihealth Caritas $15,750 123%
Florida Pace Centers $18,775 147%
UnitedHealthcare $18,954 - $35,762 148%
Wellcare $18,954 - $19,490 148%
Florida Community Care $19,133 149%
Health Sun $19,133 149%
Humana $19,133 149%
Solis Health Plan $19,312 151%
Doctors Healthcare Plans $20,206 158%
Employers Health Network $20,408 159%
Cigna $20,593 - $26,445 161%
Align Senior Care $21,994 172%
Gold Kidney $21,994 172%
Longevity $22,351 175%
Sunshine $24,140 - $33,974 188%
Global Medical Management $25,686 201%
Allianz $31,220 244%
Axis $31,220 244%
Desjardins Financial Security Life Assurance Company $31,220 244%
Global Health Claims $31,220 244%
Global Reach Health $31,220 244%
National Healthcare Solutions $31,220 244%
Plotkin $31,220 244%
Quality Health Management $31,220 244%
Quebec Inc $31,220 244%
Star Healthcare Network $31,220 244%
World Medical Care $31,220 244%
Worldwide Managed Care Partners $31,220 244%
Worldwide Medical Assurance $31,221 244%
Oscar $36,120 282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals