CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Leonard J Chabert Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $18,237
  • Cash Discount Price: $26,147
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Leonard J Chabert Medical Center is $18,237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,147. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.42x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.
Cash / Self-Pay
$26,147

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,237

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: $26,147 (204%)
Insurance Median: $18,237 (142%)
Cash: $26,147 (204% of Medicare)
Ins. Median: $18,237 (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.

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 Commercial And First Choice Network $13,243 103%
Medicaid / KanCare $13,494 105%
Aetna $15,727 - $18,237 123%
Zelis $16,102 126%
Ochsner Health Plan $18,154 142%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $18,237 142%
Blue Cross Blue Shield $18,237 142%
Healthy Blue Dual Advantage (Hmo-D-Snp) $18,237 142%
Medicare (plans) $18,237 142%
UnitedHealthcare $18,237 - $18,267 142%
Tricare $20,288 158%
Louisiana Workers' Compensation Corporation (Lwcc) $30,597 239%
Claritev D/B/A Multiplan/Phcs/American Life Care $41,723 326%
First Health Network $44,505 348%
Healthcomp & Personify Health (Formerly Gilsbar) $45,617 356%
Usa Managed Care Network $47,286 369%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1978 Industrial Blvd, Houma, LA 70363
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals