CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,382
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at University Medical Center of Princeton at Plainsboro is $14,382. 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 1.12x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,382

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: $14,382 (112%)
Ins. Median: $14,382 (112% 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
Private Healthcare Systems $1,700 13%
Coventry $1,903 15%
Princeton Theological Seminary $1,907 15%
Blue Cross Blue Shield $1,954 - $17,584 15%
UnitedHealthcare $2,288 - $14,382 18%
Amerihealth $2,478 19%
Qualcare $2,672 - $2,973 21%
Health Net $3,065 24%
Devon Health Services $5,223 41%
Magnacare $5,693 44%
Consumer Health Network $6,075 47%
Us Family Health Plan $6,155 48%
First Managed Care Option $7,232 56%
Aetna $14,382 - $24,827 112%
Medicare (plans) $14,382 - $15,818 112%
Va Medical Center $14,382 112%
Cigna $14,814 - $20,493 116%
Clover Health Plan $15,243 119%
Humana $15,530 121%
Elap $22,116 - $25,884 173%
Claim Watcher $28,034 219%
Centivo $28,084 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals