CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Healthalliance Hospital Marys Avenue Campus

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,314
Cash Discount Price: $102,333
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Healthalliance Hospital Marys Avenue Campus is $18,314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102,333. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.43x the Medicare baseline. Located in 105 Mary's Avenue, Kingston, NY.

Cash / Self-Pay

$102,333

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,314

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: $102,333 (799%)

Insurance Median: $18,314 (143%)

Cash: $102,333 (799% of Medicare)

Ins. Median: $18,314 (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
Magnacare	$7,456 - $17,442	58%
Va	$12,209	95%
Aetna	$17,442 - $51,391	136%
American Progress	$17,442	136%
Blue Cross Blue Shield	$17,442 - $62,029	136%
Blue Shield Of Ny	$17,442	136%
Cdphp	$17,442 - $46,613	136%
Emblem	$17,442 - $50,199	136%
Hamaspik	$17,442	136%
Health First	$17,442	136%
Mvp	$17,442 - $52,753	136%
Non Contracted	$17,442	136%
Todays Options	$17,442 - $19,186	136%
UnitedHealthcare	$17,442 - $51,897	136%
Wellcare	$17,442	136%
Oxford	$46,708 - $51,897	365%

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 $102,333.
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 Healthalliance Hospital Marys Avenue Campus 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.