CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Haywood Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $12,259
Cash Discount Price: $34,829
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Haywood Regional Medical Center is $12,259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34,829. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.96x the Medicare baseline. Located in 262 Leroy George Drive, Clyde, NC.

Cash / Self-Pay

$34,829

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,259

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: $34,829 (272%)

Insurance Median: $12,259 (96%)

Cash: $34,829 (272% of Medicare)

Ins. Median: $12,259 (96% 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
Americas First Choice	$11,960	93%
Blue Cross Blue Shield	$11,960 - $14,247	93%
Cigna	$11,960 - $17,553	93%
Fidelis	$11,960	93%
Medicare (plans)	$11,960	93%
Unicare	$11,960	93%
UnitedHealthcare	$11,960 - $25,901	93%
Humana	$12,199	95%
Devoted Health	$12,319	96%
Amerihealth Caritas Health Plan	$14,695	115%
Tricare	$20,982	164%
Caresource	$26,910	210%

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 $34,829.
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 Haywood Regional Medical Center 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.