CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Coliseum Medical Centers, LLC, DBA

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $24,173
Cash Discount Price: $36,935
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Coliseum Medical Centers, LLC, DBA is $24,173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36,935. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.89x the Medicare baseline. Located in 350 Hospital Drive, Macon, GA.

Cash / Self-Pay

$36,935

Average discount available for prompt cash payment at this facility.

Insurance Median

$24,173

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%)

Cash / Self-Pay: $36,935 (288%)

Insurance Median: $24,173 (189%)

Cash: $36,935 (288% of Medicare)

Ins. Median: $24,173 (189% 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
Medicare (plans)	$12,657 - $13,148	99%
UnitedHealthcare	$12,841 - $40,533	100%
Clear Spring Health Care [30192]	$13,025	102%
Georgia Health Advantage [30143]	$13,148	103%
Blue Cross Blue Shield	$18,544 - $41,755	145%
Ambetter / Centene	$22,124	173%
Aetna	$26,221	205%
Caresource Marketplace [11106]	$30,491	238%
Phcs [10601]	$36,543	285%
Cigna	$39,787	311%

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 $36,935.
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 Coliseum Medical Centers, LLC, DBA 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.