CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Barnes Jewish Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $32,548
Cash Discount Price: $49,438
vs. Medicare Baseline: 2.54x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Barnes Jewish Hospital is $32,548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49,438. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 2.54x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$49,438

Average discount available for prompt cash payment at this facility.

Insurance Median

$32,548

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: $49,438 (386%)

Insurance Median: $32,548 (254%)

Cash: $49,438 (386% of Medicare)

Ins. Median: $32,548 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Aetna	$15,022 - $70,313	117%
Blue Cross Blue Shield	$15,022 - $41,258	117%
Essence Healthcare [221]	$15,022	117%
Humana	$15,022 - $37,851	117%
UnitedHealthcare	$15,022 - $38,098	117%
Cox Health [757]	$15,773	123%
Devoted Health Plan [847]	$15,773	123%
Medica [662]	$15,773	123%
Cigna	$19,241 - $32,734	150%
Consociate [478]	$26,908 - $30,946	210%
Health Alliance [224]	$29,398	230%
Sarah Bush Lincoln [636]	$30,946	242%
Apwu Health Plan [216]	$32,734	256%
Nalc Health Benefit Plan [242]	$32,734	256%
Priority Health [648]	$32,734	256%
Healthscope Benefits [258]	$38,098	297%
Allied Benefits [498]	$70,313	549%
Coresource [497]	$70,313	549%
Fmh Benefit Service Inc [222]	$70,313	549%
Mail Handlers [495]	$70,313	549%

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 $49,438.
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 Barnes Jewish 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.