CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Christ Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $11,541
Cash Discount Price: $35,514
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Christ Hospital is $11,541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35,514. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.90x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$35,514

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,541

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: $35,514 (277%)

Insurance Median: $11,541 (90%)

Cash: $35,514 (277% of Medicare)

Ins. Median: $11,541 (90% 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
Aetna	$9,670 - $26,798	76%
Kentucky Passport/Molina [2097]	$9,670	76%
Medicaid / KanCare	$9,670	76%
Wellcare Of Kentucky [2191]	$9,670	76%
Blue Cross Blue Shield	$11,541 - $30,172	90%
Buckeye Mycare Dual [2171]	$11,541	90%
Cigna	$11,541	90%
Custom Design Benefits - True Cost [3004]	$11,541	90%
Humana	$11,541	90%
Medben [2222]	$11,541	90%
Medicare (plans)	$11,541	90%
Medigold Ppo [2204]	$11,541	90%
Meridian [2185]	$11,541	90%
Other Exchange Plan [9992]	$11,541	90%
Perennial [4200]	$11,541	90%
Poppins Health [2299]	$11,541	90%
UnitedHealthcare	$11,541 - $29,761	90%
Medical Mutual [2054]	$18,058 - $27,783	141%
Allied Benefits [2163]	$26,798	209%
First Health [2041]	$26,798	209%
Meritain Health [2224]	$26,798	209%
Western And Southern [2076]	$27,783	217%
Geha [2168]	$29,761	232%
Golden Rule [2161]	$29,761	232%
United Medical Resources [2104]	$29,761	232%
Life Synch [2080]	$35,514	277%

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 $35,514.
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 Christ 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.