CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Methodist Healthcare - Olive Branch Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $13,544
Cash Discount Price: $24,552
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Methodist Healthcare - Olive Branch Hospital is $13,544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,552. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.06x the Medicare baseline. Located in 4250 Bethel Road, Olive Branch, MS.

Cash / Self-Pay

$24,552

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,544

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: $24,552 (192%)

Insurance Median: $13,544 (106%)

Cash: $24,552 (192% of Medicare)

Ins. Median: $13,544 (106% 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
UnitedHealthcare	$1,397 - $26,891	11%
Medicaid / KanCare	$2,500 - $9,382	20%
Blue Cross Blue Shield	$10,125 - $18,800	79%
Tricare	$11,142	87%
American Health Advantage Mcr Adv [450117]	$13,544	106%
Carecentrix [450200]	$13,544	106%
Devoted Health [450111]	$13,544	106%
Generic Hospice Vbid [10940000101]	$13,544	106%
Humana	$13,544	106%
Medicare (plans)	$13,544 - $14,579	106%
Va Hospital [600005]	$13,544	106%
Cigna	$15,424 - $31,657	120%
Health Plans Inc [100282]	$15,611	122%
United Food & Commercial Workers [100309]	$31,657	247%

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 $24,552.
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 Methodist Healthcare - Olive Branch Hospital 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.