CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Bernard Parish Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $13,494
Cash Discount Price: $21,869
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at St Bernard Parish Hospital is $13,494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,869. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.05x the Medicare baseline. Located in 8000 West Judge Perez Drive, Chalmette, LA.

Cash / Self-Pay

$21,869

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,494

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: $21,869 (171%)

Insurance Median: $13,494 (105%)

Cash: $21,869 (171% of Medicare)

Ins. Median: $13,494 (105% 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.

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
Aetna	$12,987 - $24,845	101%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$12,987	101%
Blue Cross Blue Shield	$12,987 - $22,474	101%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$12,987	101%
Humana	$12,987	101%
Medicare (plans)	$12,987	101%
Ochsner Health Plan	$12,987	101%
UnitedHealthcare	$12,987 - $16,762	101%
Wellcare Of Louisiana	$12,987	101%
Medicaid / KanCare	$13,494	105%
Zelis	$13,659	107%
Tricare	$19,418	152%
Louisiana Workers' Compensation Corporation (Lwcc)	$37,588	293%
Cigna	$40,322	315%
First Health Network	$44,422	347%
Healthcomp & Personify Health (Formerly Gilsbar)	$51,256	400%

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 $21,869.
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 St Bernard Parish Hospital 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.