CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Bellevue Hospital Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $40,433
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.16x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Bellevue Hospital Center is $40,433. 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 3.16x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$40,433

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: $40,433 (316%)

Ins. Median: $40,433 (316% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 316% of the Medicare baseline (a markup of 216%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Oscar	$17,861	139%
Local 1199	$22,713	177%
Oxford	$33,501 - $40,433	262%
Cigna	$33,915	265%
Emblem	$34,597 - $40,433	270%
Healthfirst	$37,602	294%
Aetna	$38,641 - $40,433	302%
Centerlight	$39,624	309%
United	$39,624 - $49,375	309%
Blue Cross Blue Shield	$40,433	316%
Elderplan	$40,433	316%
Hamaspik	$40,433	316%
Senior Whole Health	$40,433 - $41,773	316%
Vaccn	$40,433	316%
Vnsny	$40,433	316%
Wellcare	$41,039	320%
Metroplus	$41,646	325%
Centers Plan For Healthy Living	$42,050	328%
Fidelis	$44,071 - $57,414	344%
Villagecare Max	$45,689	357%
Multiplan	$48,628	380%

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 Bellevue Hospital Center 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.