CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Sacred Heart Hospital on the Emerald Coast

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $10,719
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Sacred Heart Hospital on the Emerald Coast is $10,719. 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 0.84x the Medicare baseline. Located in 7800 Us Hwy 98 W, Miramar Beach, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,719

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: $10,719 (84%)

Ins. Median: $10,719 (84% 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
Blue Cross Blue Shield	$2,105 - $17,596	16%
Aarp Mcr Hmo	$10,407	81%
Blue Mcr Replacement	$10,407	81%
Facility Billing - Op	$10,407	81%
Medicare (plans)	$10,407	81%
Triwest	$10,407	81%
Wellcare	$10,407	81%
Smarthealth	$10,511	82%
UnitedHealthcare	$10,511 - $17,296	82%
Healthspring Mcr Replacement	$10,615	83%
Aetna	$10,719 - $36,565	84%
Humana	$10,719	84%
Cigna	$11,580	90%
Oscar Health Plan	$16,651	130%
Ambetter / Centene	$17,172	134%
Occunet	$23,416	183%

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 Sacred Heart Hospital on the Emerald Coast 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.