CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Moberly Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,360
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Moberly Regional Medical Center is $16,360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.28x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,360

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%)
Insurance Median: $16,360 (128%)
Ins. Median: $16,360 (128% 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
Blue Preferred $7,336 57%
Blue Access $14,123 110%
Medicare (plans) $15,710 - $15,753 123%
Blue Cross Blue Shield $16,023 125%
UnitedHealthcare $16,044 125%
Node Va $16,360 128%
Node Devoted Health Mcr Adv $16,539 129%
Centurion Correctional $18,394 144%
Corizon $20,049 157%
Us Department Of Labor $23,062 180%
Pathway/Pathway X $25,211 197%
Healthscope Benefits $25,342 198%
Naphcare $33,844 264%
Home State Health Plan $37,588 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals