CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: Mercy Hospital Joplin
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $14,088
- Cash Discount Price: $49,490
- vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Mercy Hospital Joplin is $14,088. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49,490. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.10x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$49,490
Average discount available for prompt cash payment at this facility.
Insurance Median
$14,088
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: $49,490 (386%)
Insurance Median: $14,088 (110%)
Cash: $49,490 (386% of Medicare)
Ins. Median: $14,088 (110% 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 |
|---|---|---|
| Ambetter / Centene | $3,509 | 27% |
| Home State Health Plan Contracted [320187] | $3,509 | 27% |
| Medicaid / KanCare | $3,509 - $14,088 | 27% |
| Novasys Contracted [320285] | $3,509 | 27% |
| Blue Cross Blue Shield | $8,227 - $20,178 | 64% |
| Aetna | $9,631 - $14,088 | 75% |
| Humana | $9,631 - $13,397 | 75% |
| Indian Health Service Contracted [320198] | $9,924 - $14,088 | 77% |
| Health Systems Inc Contracted [320174] | $11,271 | 88% |
| Insurance System Inc Contracted [320465] | $11,271 | 88% |
| Benefit Management Contracted [320052] | $12,057 | 94% |
| United Medical Resources Contracted [320454] | $12,209 - $19,444 | 95% |
| Providrs Care Network Contracted [320484] | $13,751 | 107% |
| Centivo Contracted [320505] | $14,088 | 110% |
| Champva [20065] | $14,088 | 110% |
| Cherokee Nation Health Serv Contracted [320066] | $14,088 | 110% |
| Cigna | $14,088 - $20,999 | 110% |
| Cross Timbers Hospice [20098] | $14,088 | 110% |
| Dept Of Veteran Affairs Contracted [320106] | $14,088 | 110% |
| Elara Caring Aspire Hospice [20433] | $14,088 | 110% |
| Globalhealth Contracted [320145] | $14,088 | 110% |
| Halo Hcr Inc Hospice Contracted [320432] | $14,088 | 110% |
| Halo Hcr Inc Hospice [20432] | $14,088 | 110% |
| Kindful Hospice Contracted [320434] | $14,088 | 110% |
| Kindful Hospice [20434] | $14,088 | 110% |
| Medicare (plans) | $14,088 - $14,524 | 110% |
| Mercy Hospice Okc [20252] | $14,088 | 110% |
| Mercy Mgd Behavioral Health Contracted [320259] | $14,088 | 110% |
| Pace Of The Ozarks Contracted [320518] | $14,088 | 110% |
| Provider Partners Health Plans Contracted [320450] | $14,088 | 110% |
| Qual Choice Contracted [320325] | $14,088 | 110% |
| UnitedHealthcare | $14,088 - $19,444 | 110% |
| First Health Contracted [320128] | $14,331 | 112% |
| Mercy Benefit Admin Contracted [320251] | $14,673 - $16,283 | 115% |
| Medica Contracted [320239] | $14,788 | 115% |
| Point C Contracted [320238] | $14,969 | 117% |
| 90 Degree Benefits Contracted [320436] | $15,507 | 121% |
| Show-Me Health Administrators Contracted [320483] | $15,507 - $16,283 | 121% |
| Aither Health Contracted [320449] | $15,567 | 122% |
| Auxiant Contracted [320462] | $15,567 | 122% |
| Ebms Contracted [320493] | $15,567 | 122% |
| Edison Health Solutions Contracted [320502] | $15,567 | 122% |
| Healthlink Contracted [320179] | $15,567 - $19,090 | 122% |
| Imagine 360 Contracted [320494] | $15,567 | 122% |
| Reflect Health Contracted [320492] | $15,567 | 122% |
| Yuzu Health Contracted [320521] | $15,567 | 122% |
| Multiplan Contracted [320270] | $16,808 | 131% |
| Private Health Care Systems Contracted [320320] | $16,808 | 131% |
| Usable Contracted [320409] | $16,808 | 131% |
| Healthscope Contracted [320182] | $17,342 | 135% |
| Tricare | $21,042 | 164% |
| Health Choice Contracted [320166] | $22,168 | 173% |