CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Merit Health Women's Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,509
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Merit Health Women's Hospital is $15,509. 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 1.21x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,509

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: $15,509 (121%)
Ins. Median: $15,509 (121% 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
Coventry First Health $2,367 18%
Mississippi Department Of Rehabilitation Services $3,200 25%
First Choice Ppo Plus $3,396 27%
First Choice Mpcn $7,913 62%
Cigna $14,175 111%
Blue Cross Blue Shield $14,356 112%
Humana $15,206 119%
Medicare (plans) $15,206 119%
Node Shared Health Of Ms Mcr Adv $15,206 119%
Node Vantage Health Mcr Adv $15,206 119%
Node Windsor Mcr Adv $15,206 119%
UnitedHealthcare $15,481 - $24,552 121%
Node Devoted Health Mcr Adv $15,509 121%
Node First Choice American Health Of Ms Mcr Adv $15,509 121%
Node Molina Mcr Adv $15,509 121%
Aetna $15,661 122%
Node First Choice Wellcare Mcr Adv $15,791 123%
Node Va $15,791 123%
Node Healthy Mississippi Mcr Adv $17,029 133%
First Choice Preferred $17,069 133%
Node First Choice Seven Corners $17,806 139%
First Choice Lgp $18,760 146%
Advanced Health Systems $18,800 147%
Molina Exchange $20,208 158%
Node Us Dept Of Labor $22,317 174%
Occunet $23,221 181%
Ms Work Comp $23,810 186%
Magnolia Exchange $27,092 212%
Vantage Health $30,962 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals