CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Coshocton Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $15,659
Cash Discount Price: $12,930
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Coshocton Regional Medical Center is $15,659. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,930. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.22x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$12,930

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,659

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: $12,930 (101%)

Insurance Median: $15,659 (122%)

Cash: $12,930 (101% of Medicare)

Ins. Median: $15,659 (122% 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
Blue Cross Blue Shield	$12,930	101%
Care Source	$12,930 - $18,749	101%
Medicare (plans)	$12,930	101%
Molina	$12,930 - $18,749	101%
The Health Plan	$12,930	101%
UnitedHealthcare	$12,930	101%
Med Mutual Of Oh	$13,189	103%
Buckeye Community Health Plan	$13,577 - $16,163	106%
Devoted Health	$13,577	106%
Valor Health Plan	$13,836	108%
Perennial Advantage	$14,223	111%
Americas Choice Provider Network	$15,659	122%
Corvel	$15,659	122%
Healthsmart	$15,659	122%
Multiplan	$15,659	122%
Provider Network Of America	$15,659	122%
Provider Select	$15,659	122%
Three Rivers	$15,659	122%
Workers Compensation	$15,659	122%
Employer Direct Healthcare	$16,809	131%
National Healthcare Solutions, Inc.	$20,689	162%
Tricare	$20,918	163%
Quality Care Partner	$23,921 - $26,507	187%

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 $12,930.
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 Coshocton Regional Medical 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.