CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: PAM Health Specialty Hospital of Jacksonville

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$25,103

about 2.0× the $12,807 Medicare rate · typically $12,757–$48,470

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,438

Below the fair price — a good deal

about $3,665 under the fair price · 1.7× Medicare

Medicare pays $12,807 Fair price $25,103 This hospital $21,438

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $11,438 Priciest $21,438

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $25,103 (about 2.0× the $12,807 Medicare rate). PAM Health Specialty Hospital of Jacksonville charges insurers about $21,438 — below the fair price — a good deal. Located in Jacksonville, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$21,438	167%
Aetnamajor	$21,438	167%
Humanamajor	$21,009	164%
Simply Healthcare	$21,438	167%
+ 4 smaller / regional plans	$20,795 - $21,438

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm PAM Health Specialty Hospital of Jacksonville is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at PAM Health Specialty Hospital of Jacksonville

Compare: Heart stent placement (inpatient stay) at other FL hospitals

Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,438
Ascension Sacred Heart Gulf · Port Saint Joe $11,481
Sacred Heart Hospital · Pensacola $11,706
Gulf Breeze Hospital · Gulf Breeze $12,779
Jay Hospital · Jay $13,657
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $13,759
Villages Regional Hospital, The · The Villages $13,884
HCA Florida Fawcett Hospital · Port Charlotte $14,018

Insurance negotiated median for the same procedure, sorted lowest first.