CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Deaconess Hospital Inc

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $23,956
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Deaconess Hospital Inc is $23,956. 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 1.87x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$23,956

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: $23,956 (187%)
Ins. Median: $23,956 (187% 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.

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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 $7,349 - $27,198 57%
Humana $7,349 - $15,143 57%
Medicaid / KanCare $7,349 57%
UnitedHealthcare $7,349 - $36,902 57%
Triwest Vapc3 $13,793 108%
Blue Cross Blue Shield $14,519 - $47,654 113%
Immergrun $14,519 113%
Medicare (plans) $14,519 113%
Meridiancare (Il) $14,519 113%
Meridiancomplete (Il) $14,519 113%
Molina (Il) Mmai $14,519 113%
Molina Il $14,519 113%
Mytru Advantage $14,519 113%
Wellcare (Il) Mmai $14,519 113%
Ambetter / Centene $23,230 181%
Caresource In Marketplace $23,230 181%
Noncontracted $23,230 181%
Naphcare $23,956 187%
Patoka Valley Health Care (90/10 Plan) $26,569 207%
Encircle/Encore Prime $26,836 210%
Iu Health Network $27,102 212%
Alliance Coal $28,312 221%
Deaconess Onecare $29,038 227%
Patoka Valley Health Care (80/20 Plan) $29,219 228%
Center Care Narrow Select $29,740 232%
Encircle/Encore Elite+ $31,941 249%
Encircle/Encore Combined $33,662 263%
Center Care Open Access $34,203 267%
Allied National $34,845 272%
Chamber Care $34,845 272%
Claimdoc $34,845 272%
Healthscope $34,845 272%
Hopetrust $34,845 272%
Hstechnology $34,845 272%
Cigna $35,666 278%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $35,666 278%
Claritev (Formerly Phcs Multiplan) $36,696 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals