CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: McCullough-Hyde Memorial Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,440
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at McCullough-Hyde Memorial Hospital is $16,440. 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 1.28x the Medicare baseline. Located in 110 North Poplar Street, Oxford, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,440

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: $16,440 (128%)
Ins. Median: $16,440 (128% 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 $13,550 - $30,838 106%
Blue Cross Blue Shield $13,550 - $33,162 106%
Caresource $13,550 106%
Essence Healthcare $13,550 106%
Humana $13,550 106%
Medigold $13,550 106%
Molina $13,550 106%
UnitedHealthcare $13,550 - $29,458 106%
Medical Mutual Of Ohio $13,821 108%
Buckeye $13,957 - $19,648 109%
Oscar $16,440 128%
Imagine Health $32,498 254%
Custom Design Benefits $33,334 - $35,095 260%
Medben $37,128 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 North Poplar Street, Oxford, OH 45056
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals