CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Union Hospital Inc

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $14,076
Cash Discount Price: $28,066
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Union Hospital Inc is $14,076. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,066. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.10x the Medicare baseline. Located in 1606 N Seventh St, Terre Haute, IN.

Cash / Self-Pay

$28,066

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,076

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: $28,066 (219%)

Insurance Median: $14,076 (110%)

Cash: $28,066 (219% of Medicare)

Ins. Median: $14,076 (110% 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
Aetna	$13,063	102%
Blue Cross Blue Shield	$13,063 - $30,805	102%
Caresource	$13,063 - $22,207	102%
Champva	$13,063	102%
Cigna	$13,063	102%
Coventry	$13,063	102%
Humana	$13,063 - $26,140	102%
Medicare (plans)	$13,063	102%
Umwa	$13,063	102%
UnitedHealthcare	$13,063 - $26,783	102%
Va Hospital	$13,063	102%
Indiana Dept Of Corrections	$13,586	106%
Tricare	$14,076	110%
Iu Health Plans	$20,248	158%
Naphcare	$21,685	169%
Ambetter / Centene	$22,207	173%
Siho	$22,230 - $23,968	174%
Health Alliance	$27,263	213%
Sagamore	$30,367	237%

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 $28,066.
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 Union Hospital Inc 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.