CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Oviedo Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,443
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Oviedo Medical Center is $16,443. 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 1.28x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,443

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: $16,443 (128%)
Ins. Median: $16,443 (128% 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
Sunshine State Health Plan $2,348 - $11,736 18%
Cigna $2,834 - $36,275 22%
United $4,222 - $48,219 33%
Humana $7,247 - $66,254 57%
Wellmed $15,202 119%
Blue Cross Blue Shield $15,668 - $63,070 122%
Fl Health Care Plan $15,668 122%
Devoted Health $15,823 124%
Ultimate Health Plan $15,823 124%
Aetna $15,900 - $42,744 124%
Freedom Health $16,133 126%
Optimum $16,133 126%
Solis Health Plan $16,133 126%
Sunshine State $16,211 127%
Wellcare $16,211 127%
Avmed $16,288 - $60,289 127%
Clear Spring Health $16,288 127%
Longevity Health Plan $16,288 127%
Simply $16,288 127%
American Health Plan $16,443 128%
Molina Healthcare $16,443 128%
Careplus $16,909 - $17,839 132%
Gold Kidney Of Florida $16,909 132%
Align Senior Care $17,064 133%
Centurion $17,064 133%
Florida Complete Care $17,064 133%
Simply Healthcare $17,202 134%
Ndms Definitive Care $19,391 151%
Oscar $23,927 187%
Florida Health Care Plan $28,250 221%
Evolutions $28,573 223%
Truli For Health $30,914 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals