CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,554
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Poplar Bluff Regional Medical Center is $14,554. 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 1.14x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,554

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: $14,554 (114%)
Ins. Median: $14,554 (114% 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
Medicaid / KanCare $3,818 30%
Tyson Foods $12,637 99%
Blue Cross Blue Shield $12,702 - $17,983 99%
Medicare (plans) $13,996 - $14,643 109%
Node United Behavioral Health Mcr Adv $13,996 109%
Humana $14,098 110%
Node Ahs Mcr Adv $14,554 114%
UnitedHealthcare $14,956 117%
Node Va $15,204 119%
Blue Access $15,289 119%
Node Devoted Health Mcr Adv $15,373 120%
Centurion Correctional $15,692 123%
Node Pphp Mcr Adv $16,090 126%
Us Department Of Labor $21,551 168%
Home State Exchange $23,850 186%
Naphcare $28,874 225%
W W Wood $37,265 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals