CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ochsner LSU Health Monroe

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,172
Cash Discount Price: $26,465
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ochsner LSU Health Monroe is $18,172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,465. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.42x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$26,465

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,172

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: $26,465 (207%)

Insurance Median: $18,172 (142%)

Cash: $26,465 (207% of Medicare)

Ins. Median: $18,172 (142% 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
Verity Health Network – Lsu First Choice	$12,692	99%
Blue Cross Blue Shield	$12,801 - $18,172	100%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$15,374	120%
Aetna	$15,374	120%
Humana	$15,374 - $21,460	120%
Medicare (plans)	$15,374	120%
UnitedHealthcare	$15,374	120%
Multiplan/Phcs/American Lifecare	$17,549	137%
Vantage Health Plan - Commercial	$25,367	198%
Healthcomp Ppo (Formerly Gilsbar 360	$70,649 - $79,683	552%
Usa Managed Care Network	$85,462 - $96,391	667%

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 $26,465.
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 Ochsner LSU Health Monroe 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.