CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Avoyelles Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $12,039
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Avoyelles Hospital is $12,039. 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 0.94x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,039

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: $12,039 (94%)
Ins. Median: $12,039 (94% 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 $11,107 - $12,039 87%
Amer Contl Ins $11,107 87%
Coventry $11,107 87%
First Choice Health $11,107 87%
Meritan Health $11,107 87%
Humana $11,437 - $12,039 89%
All Savers $11,826 92%
Geha $11,826 92%
United Hlth One $11,826 92%
UnitedHealthcare $11,826 - $12,039 92%
Medicare (plans) $11,918 93%
Mmc Allwell $11,918 - $12,039 93%
Sentinel Security Life $11,918 93%
Trustmark Health Benefits $11,918 93%
Bankers Life $12,039 94%
Champva $12,039 94%
Cigna $12,039 94%
Gulf South Zelis $12,039 94%
Mcr Lagniappe $12,039 94%
Medeico Ins Co $12,039 94%
Mmc Blue Advantage $12,039 94%
Mmc Dignity Care Corp $12,039 94%
Mmc Healthy Blue Dual Adv $12,039 94%
Mmc Mcr Hmo Miscellaneous $12,039 94%
Mmc Priority Hlth Pffs $12,039 94%
Mmc Vantage Hlth $12,039 94%
Mmc Wellcare $12,039 94%
Mutual Of Omaha $12,039 94%
Neba Inc $12,039 94%
Philadelphia American Lif $12,039 94%
Tunica Biloxi $12,039 94%
United Amer Ins $12,039 94%
Veterans Evaluation Serv $12,039 94%
Wps Vacca $12,039 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals