CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida University Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,355
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida University Hospital is $18,355. 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 1.43x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,355

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: $18,355 (143%)

Ins. Median: $18,355 (143% 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
Avmed	$1,715 - $62,866	13%
Sunshine State Health Plan	$2,017 - $13,883	16%
Cigna	$2,102 - $26,085	16%
Humana	$2,139 - $30,314	17%
United	$3,000 - $37,300	23%
Simply Healthcare	$14,100	110%
Oscar	$14,358 - $18,442	112%
Wellmed	$16,876	132%
Blue Cross Blue Shield	$17,572 - $54,388	137%
Devoted Health	$17,746	139%
Aetna	$17,833 - $57,278	139%
Health Sun Health Plan	$18,094	141%
Simply Healthcare Plans	$18,268	143%
Sunshine State	$18,268 - $19,138	143%
American Health Plan	$18,442	144%
Freedom Health	$18,442	144%
Molina	$18,442	144%
Amerihealth Caritas	$18,616 - $18,735	145%
Longevity Health Plan	$18,616	145%
Prominence Healthfirst	$18,616	145%
Align	$18,790	147%
Florida Complete Care	$18,790	147%
Doctors Healthcare Plan	$19,312	151%
Gold Kidney	$19,486	152%
Solis Health Plan	$19,834	155%
Ndms Definitive Care	$21,747	170%

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 HCA Florida University Hospital 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.