CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Jefferson Stratford Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,258
Cash Discount Price: $18,836
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Jefferson Stratford Hospital is $18,258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,836. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.43x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$18,836

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,258

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: $18,836 (147%)

Insurance Median: $18,258 (143%)

Cash: $18,836 (147% of Medicare)

Ins. Median: $18,258 (143% 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	$16,751 - $18,091	131%
Point of Comfort Refugee Resettlement	$16,751	131%
Inspira Life	$16,751	131%
Tricare	$16,751	131%
Medicare (plans)	$16,751 - $17,263	131%
St Agnes	$16,751	131%
Innovage	$17,086	133%
Humana	$17,086	133%
Aetna	$17,086 - $41,674	133%
Cigna	$17,421 - $36,674	136%
Devoted Health Participation	$17,588	137%
Blue Cross Blue Shield	$17,686 - $21,941	138%
Provider Partners Health Plan	$17,923	140%
Allwell PA Health_Wellness Ma	$18,426	144%
Highmark Wholecare Gateway	$18,426	144%
Geisinger Health Plan	$18,775 - $56,711	147%
Ibc Main Line Health	$20,938	163%
Ibc Employee Benefit	$20,938	163%
Ambetter / Centene	$21,388	167%
Jeff Nj Amerihealth_Ibc	$26,027 - $31,021	203%
Highmark	$26,686 - $33,065	208%
Naphcare	$26,801	209%

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 $18,836.
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 Jefferson Stratford 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.