CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Terre Haute Regional Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,067
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Terre Haute Regional Hospital is $15,067. 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 1.18x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,067

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: $15,067 (118%)
Ins. Median: $15,067 (118% 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.

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
United $6,546 - $71,055 51%
Blue Cross Blue Shield $14,699 - $26,735 115%
Humana $14,699 115%
In State Health (Bccp) $14,699 115%
Mdwise Hoosier Alliance $14,699 115%
U.S. Penitentiary $14,699 115%
United Behavioral Health $14,699 115%
Corizon Health $14,726 115%
Centurion $15,287 119%
American Health Plans $15,434 121%
Ambulatory Care Solutions $18,374 143%
Molina $19,844 155%
American Correctional $24,254 189%
Naphcare $24,254 189%
Cigna $33,975 - $56,281 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 S Seventh St, Terre Haute, IN 47802
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals