CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Missouri Baptist Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $24,265
Cash Discount Price: $45,403
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Missouri Baptist Medical Center is $24,265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45,403. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.89x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.

Cash / Self-Pay

$45,403

Average discount available for prompt cash payment at this facility.

Insurance Median

$24,265

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: $45,403 (355%)

Insurance Median: $24,265 (189%)

Cash: $45,403 (355% of Medicare)

Ins. Median: $24,265 (189% 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	$12,637 - $46,347	99%
Blue Cross Blue Shield	$12,637 - $34,402	99%
Essence Healthcare [221]	$12,637	99%
Healthscope Benefits [258]	$12,637 - $28,594	99%
Humana	$12,637 - $37,387	99%
UnitedHealthcare	$12,637 - $28,594	99%
Cox Health [757]	$13,269	104%
Devoted Health Plan [847]	$13,269	104%
Medica [662]	$13,269	104%
Cigna	$18,477 - $29,747	144%
Health Alliance [224]	$19,918	156%
Consociate [478]	$21,099 - $24,265	165%
Sarah Bush Lincoln [636]	$24,265	189%
Apwu Health Plan [216]	$29,747	232%
Nalc Health Benefit Plan [242]	$29,747	232%
Priority Health [648]	$29,747	232%
Allied Benefits [498]	$46,347	362%
Coresource [497]	$46,347	362%
Fmh Benefit Service Inc [222]	$46,347	362%
Mail Handlers [495]	$46,347	362%

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 $45,403.
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 Missouri Baptist Medical Center 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.