CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Blue Ridge Regional Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $1,944
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Blue Ridge Regional Hospital is $1,944. 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 0.15x the Medicare baseline. Located in 125 Hospital Drive, Spruce Pine, NC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,944

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: $1,944 (15%)
Ins. Median: $1,944 (15% 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
Blue Cross Blue Shield $1,723 - $17,634 13%
Aetna $1,860 15%
Apex Health $1,860 15%
United $1,860 15%
Alignment Health $1,897 15%
Devoted Health $1,897 15%
Cigna $1,916 15%
Humana $1,916 - $1,934 15%
Wellcare $1,916 - $18,163 15%
Nhc Advantage $1,934 15%
Healthteam Advantage $1,953 15%
Provider Partners Health Plan $1,953 15%
Troy Healthcare $1,953 15%
Longevity Health Plan $1,990 16%
Amerihealth Caritas $2,120 17%
Vaya Health $18,163 142%
Amerihealth $18,340 143%
Partners Health Management $18,516 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Hospital Drive, Spruce Pine, NC 28777
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals