CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Tammany Parish Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $10,538
Cash Discount Price: $38,398
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at St Tammany Parish Hospital is $10,538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38,398. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.82x the Medicare baseline. Located in 1202 S Tyler Street, Covington, LA.

Cash / Self-Pay

$38,398

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,538

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: $38,398 (300%)

Insurance Median: $10,538 (82%)

Cash: $38,398 (300% of Medicare)

Ins. Median: $10,538 (82% 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
Ppo Plus	$1,526	12%
Cigna	$1,650 - $1,700	13%
Multiplan	$1,862	15%
Blue Cross Blue Shield	$10,538	82%
Humana	$10,538	82%
Medicare (plans)	$10,538	82%
People'S Health Network	$10,538	82%
UnitedHealthcare	$10,538 - $27,115	82%
Wellcare	$10,538	82%
Tricare	$19,381	151%

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 $38,398.
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 St Tammany Parish Hospital 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.