CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ochsner Medical Center-Kenner

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $29,401
Cash Discount Price: $22,898
vs. Medicare Baseline: 2.30x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ochsner Medical Center-Kenner is $29,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,898. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 2.30x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.

Cash / Self-Pay

$22,898

Average discount available for prompt cash payment at this facility.

Insurance Median

$29,401

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: $22,898 (179%)

Insurance Median: $29,401 (230%)

Cash: $22,898 (179% of Medicare)

Ins. Median: $29,401 (230% 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 230% of the Medicare baseline (a markup of 130%). 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
Claritev D/B/A Multiplan/Phcs/American Life Care	$12,936	101%
Medicaid / KanCare	$13,494 - $16,127	105%
Ochsner Health Plan	$14,747	115%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$14,912	116%
Blue Cross Blue Shield	$14,912 - $23,413	116%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$14,912	116%
Humana	$14,912	116%
Medicare (plans)	$14,912	116%
UnitedHealthcare	$14,912 - $31,856	116%
Wellcare Of Louisiana	$15,359	120%
Aetna	$21,381	167%
Tricare	$21,962	171%
Cigna	$26,369	206%
Louisiana Workers' Compensation Corporation (Lwcc)	$39,039 - $53,143	305%
Healthcomp & Personify Health (Formerly Gilsbar)	$42,588 - $57,974	333%
Mississippi Physicians Care Network	$53,235 - $72,468	416%
Employers Health Network (Ehn)	$60,333 - $82,130	471%
Prime Health Services Ppo	$60,333 - $82,130	471%
Usa Managed Care Network	$60,333 - $82,130	471%

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 $22,898.
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-Kenner 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.