CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $21,220
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Memorial Mission Hospital and Asheville Surgery Ce is $21,220. 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 1.66x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$21,220

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: $21,220 (166%)
Ins. Median: $21,220 (166% 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
United $6,223 - $49,104 49%
United Behavioral Health $14,657 114%
Aetna $14,950 - $38,250 117%
Alignment Health $14,950 117%
Humana $15,096 - $15,243 118%
Wellcare $15,096 - $21,856 118%
Cigna $15,243 119%
Healthteam Advantage $15,390 120%
Provider Partners Health Plan $15,390 120%
Pruitthealth Premier $15,390 120%
Troy Healthcare $15,390 120%
Apex Health $15,536 121%
Longevity Health Plan $15,683 122%
Nhc Advantage $15,683 122%
Amerihealth Caritas $16,709 - $30,029 130%
Blue Cross Blue Shield $21,220 - $38,559 166%
Vaya Health $21,856 171%
Amerihealth $22,068 172%
Partners Health Management $22,281 174%
Oscar $29,729 232%
Ambetter / Centene $29,996 234%
Medcost $31,924 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 Biltmore Ave, Asheville, NC 28801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals