CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Luke's Nampa Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $15,910
Cash Discount Price: $98,164
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at St Luke's Nampa Medical Center is $15,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98,164. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.24x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$98,164

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,910

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: $98,164 (766%)

Insurance Median: $15,910 (124%)

Cash: $98,164 (766% of Medicare)

Ins. Median: $15,910 (124% 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)	$14,697 - $14,991	115%
Blue Cross Blue Shield	$14,844 - $55,714	116%
UnitedHealthcare	$15,432	120%
Commercial [1028]	$15,910 - $45,248	124%
Veterans Affairs [1056]	$15,910	124%
Aetna	$16,167	126%
Regence [1005]	$42,986 - $45,248	336%
Blue Shield Alt [100401]	$45,248	353%
Regence Out Of State [1004]	$45,248	353%

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 $98,164.
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 St Luke's Nampa Medical Center 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.