CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $43,509
Cash Discount Price: $31,379
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ochsner Medical Center - Baton Rouge is $43,509. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31,379. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 3.40x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$31,379

Average discount available for prompt cash payment at this facility.

Insurance Median

$43,509

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: $31,379 (245%)

Insurance Median: $43,509 (340%)

Cash: $31,379 (245% of Medicare)

Ins. Median: $43,509 (340% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$13,137	103%
Blue Cross Blue Shield	$13,137 - $25,819	103%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$13,137	103%
Humana	$13,137	103%
Medicare (plans)	$13,137	103%
Ochsner Health Plan	$13,137	103%
UnitedHealthcare	$13,137 - $33,899	103%
Medicaid / KanCare	$13,494 - $17,963	105%
Tricare	$19,610	153%
Aetna	$20,182	158%
Cigna	$22,192	173%
Louisiana Workers' Compensation Corporation (Lwcc)	$41,803 - $100,444	326%
Healthcomp & Personify Health (Formerly Gilsbar)	$45,603 - $109,576	356%
Mississippi Physicians Care Network	$57,004 - $136,969	445%
Prime Health Services Ppo	$64,604 - $155,232	504%
Usa Managed Care Network	$64,604 - $155,232	504%

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 $31,379.
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 Medical Center - Baton Rouge 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.