CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Integris Southwest Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $20,603
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Integris Southwest Medical Center is $20,603. 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 1.61x the Medicare baseline. Located in 4401 South Western Avenue, Oklahoma City, OK.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,603

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: $20,603 (161%)

Ins. Median: $20,603 (161% 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	$15,659 - $26,792	122%
Blue Cross Blue Shield	$15,659 - $49,478	122%
Cigna	$15,659 - $32,809	122%
Community Care	$15,659 - $20,357	122%
Global Health	$15,659 - $20,849	122%
Humana	$15,659	122%
Medica	$15,659	122%
Wellcare	$15,659	122%
UnitedHealthcare	$15,972 - $41,588	125%
Healthcare Highways	$16,036 - $18,866	125%
Healthchoice	$22,168	173%
First Health	$23,289	182%
Phcs	$31,746	248%

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 Integris Southwest 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.