CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: North Vista Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $20,735
Cash Discount Price: $15,949
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at North Vista Hospital is $20,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,949. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.62x the Medicare baseline. Located in 1409 East Lake Mead Blvd, North Las Vegas, NV.

Cash / Self-Pay

$15,949

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,735

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: $15,949 (125%)

Insurance Median: $20,735 (162%)

Cash: $15,949 (125% of Medicare)

Ins. Median: $20,735 (162% 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	$3,773	29%
Triwest	$15,790	123%
Aetna	$15,950	125%
Blue Cross Blue Shield	$15,950	125%
Intermountain Healthcare (Hcp)	$15,950 - $23,925	125%
Medicare (plans)	$15,950	125%
Molina Healthcare	$15,950	125%
Renal Payor Solutions	$15,950	125%
Silver Summit	$15,950 - $23,606	125%
Tricare	$15,950 - $25,273	125%
Alignment	$16,269	127%
Employer Direct Healthcare	$20,735	162%
Health Services Coalition	$23,925	187%
Imperial Insurance Companies	$23,925 - $29,507	187%
Naphcare	$24,722	193%
National Healthcare Solutions, Inc	$25,520	199%
Nevada Health Partners	$26,143	204%
6 Degrees Health	$28,391	222%

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 $15,949.
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 North Vista 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.