CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Deaconess Henderson Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,094
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Deaconess Henderson Hospital is $16,094. 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 1.26x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,094

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: $16,094 (126%)
Ins. Median: $16,094 (126% 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
Aetna $11,432 - $13,622 89%
Medicaid / KanCare $11,432 89%
UnitedHealthcare $11,432 - $30,892 89%
Wellcare Ky $11,432 - $13,622 89%
Humana $12,154 - $13,622 95%
Blue Cross Blue Shield $13,622 - $23,207 106%
Medicare (plans) $13,622 106%
Mhs Mco $13,622 106%
Molina Healthcare Of Ky $13,622 106%
Molina Healthcare Of Ky - Exchange $13,622 106%
Mytru Advantage $13,622 106%
Umwa $13,622 106%
Wellcare Il $13,622 106%
Phcs/Multiplan $20,000 156%
Alliance Coal $20,433 160%
Amish And Mennonite Of Western Ky $20,433 160%
Caresource In Marketplace $21,795 170%
Noncontracted $21,795 170%
Wellcare Ky Commercial Exchange $22,476 175%
Iu Health Plans $26,186 204%
Encircle/Encore Prime $26,836 210%
Center Care Narrow $29,740 232%
One Care $29,969 234%
Claimdoc $32,693 255%
Hopetrust $32,693 255%
Hstechnology $32,693 255%
Encircle/Encore Combined $33,662 263%
Center Care Open Access $34,203 267%
Cigna $34,758 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals