CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mountainview Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,745
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Mountainview Hospital is $17,745. 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 1.39x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,745

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: $17,745 (139%)

Ins. Median: $17,745 (139% 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
Molina Healthcare	$1,550	12%
Sierra	$2,732 - $22,136	21%
Multiplan	$3,186	25%
First Health	$3,456	27%
Hometown Health Providers	$3,973 - $4,612	31%
Prominence Healthfirst	$4,095	32%
Health Services Coalition	$4,110	32%
Aetna	$4,158 - $23,721	32%
United	$5,006 - $29,720	39%
Cigna	$6,540 - $49,500	51%
Select Health	$8,119 - $29,896	63%
Procare	$16,857	132%
Hometown Health Mcr	$17,212	134%
Humana	$17,212 - $17,745	134%
Alignment Health Plan	$17,745	139%
Ambetter / Centene	$17,745 - $31,940	139%
Blue Cross Blue Shield	$17,745 - $33,890	139%
Triwest Healthcare Alliance	$17,745	139%
UnitedHealthcare	$17,745	139%
Caremore	$18,100	141%
Imperial Nv	$18,632	145%
Universal Healthcare	$18,987	148%

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 $X.
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 Mountainview 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.