Heart stent placement (inpatient stay)
Facility: Claiborne Memorial Medical Center
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $12,028
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $12,028 | 94% |
| Arcadian Community Mcr Hm | $12,028 | 94% |
| Blue Cross Blue Shield | $12,028 | 94% |
| Champus | $12,028 | 94% |
| Champva | $12,028 | 94% |
| Cigna | $12,028 | 94% |
| Healthy Blue Dual Adv | $12,028 | 94% |
| Humana | $12,028 | 94% |
| Kaiser Foundation Health | $12,028 | 94% |
| Medicare (plans) | $12,028 | 94% |
| Peoples Health Network | $12,028 | 94% |
| Pyramid Claims Mcr Hmo | $12,028 | 94% |
| Sterling Connect 2 | $12,028 | 94% |
| Sterling Premier Mc Hmo | $12,028 | 94% |
| Superior Health Mcr Hmo | $12,028 | 94% |
| Tenet Mcr Hmo | $12,028 | 94% |
| Tricare | $12,028 | 94% |
| United Hc Mcr Hmo | $12,028 | 94% |
| UnitedHealthcare | $12,028 | 94% |
| Universal Hc Mcr Hmo | $12,028 | 94% |
| Us Dept Of Labor | $12,028 | 94% |
| Vantage Health Mcr Hmo | $12,028 | 94% |
| Windsor Sterling Mcr Hmo | $12,028 | 94% |
| Wps Mvh Vapc3 | $12,028 | 94% |