CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Crossgates River Oaks Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,410
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Crossgates River Oaks Hospital is $15,410. 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 1.20x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,410

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: $15,410 (120%)
Ins. Median: $15,410 (120% 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
First Choice Coventry $2,367 18%
Ms Dept Of Rehabilitation Services $2,722 21%
First Choice Ppo Plus $3,396 27%
First Choice Mpcn Standard $9,671 76%
Cigna $14,175 111%
Humana $15,108 118%
Medicare (plans) $15,108 118%
Node First Choice Shared Health Of Ms Mcr Adv $15,108 118%
Node Vantage Health Mcr Adv $15,108 118%
Node Windsor Mcr Adv $15,108 118%
UnitedHealthcare $15,108 - $22,228 118%
Node Magnolia Mcr Adv $15,259 119%
Molina $15,410 120%
Node Devoted Health Mcr Adv $15,410 120%
Node First Choice American Health Of Ms Mcr Adv $15,410 120%
Aetna $15,561 122%
Node First Choice Wellcare Mcr Adv $15,689 123%
Node Va $15,689 123%
Node Healthy Mississippi Mcr Adv $16,919 132%
First Choice Preferred $17,401 136%
Advanced Health Systems $18,800 147%
Blue Cross Blue Shield $18,801 147%
First Choice Lgp $19,698 154%
Molina Exchange $20,208 158%
Node Us Dept Of Labor $22,184 173%
Node First Choice Occunet $23,072 180%
Ms Work Comp $23,810 186%
Prime Health Wc $23,810 186%
Node Magnolia Exchange $26,917 210%
Vantage Health Commercial $28,065 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals