CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ochsner Rush Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,926
  • Cash Discount Price: $14,711
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ochsner Rush Hospital is $15,926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,711. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.24x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.
Cash / Self-Pay
$14,711

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,926

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: $14,711 (115%)
Insurance Median: $15,926 (124%)
Cash: $14,711 (115% of Medicare)
Ins. Median: $15,926 (124% 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
Cigna $12,719 - $13,504 99%
UnitedHealthcare $13,245 - $13,504 103%
Medicaid / KanCare $13,494 - $18,862 105%
Humana $13,504 - $18,850 105%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $13,504 105%
Medicare (plans) $13,521 - $15,530 106%
Shared Health Mississippi $14,179 111%
Blue Cross Blue Shield $16,322 - $18,800 127%
Ambetter / Centene $18,716 146%
Cor Vel $22,771 178%
Prime Health Services Ppo -Workers Comp $22,771 178%
Select Administrative Services Network $25,804 - $48,843 201%
Prime Health Services Ppo $29,490 - $55,820 230%
Primewell Health Services – Commercial $33,085 258%
Primewell Health Services Commercial Exchange Plan $33,424 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1314 19Th Ave, Meridian, MS 39301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals