CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Christus St Vincent Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $13,076
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Christus St Vincent Regional Medical Center is $13,076. 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 1.02x the Medicare baseline. Located in 455 St Michael's Drive, Santa Fe, NM.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13,076

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: $13,076 (102%)
Ins. Median: $13,076 (102% 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
Aetna $12,695 99%
Allwell $12,695 99%
Blue Cross Blue Shield $12,695 - $40,829 99%
Christus Health $12,695 99%
Humana $12,695 99%
Presbyterian Health Plan (Nm) $12,695 - $40,829 99%
Triwest $12,695 99%
UnitedHealthcare $12,695 - $40,829 99%
Washington National $12,695 99%
Western Sky $12,695 99%
Cigna $13,076 102%
Amerigroup $13,330 104%
Devoted Health Plan $13,330 104%
Molina $13,330 - $44,912 104%
Ambetter / Centene $25,390 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 455 St Michael's Drive, Santa Fe, NM 87505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals