CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ascension St John Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $10,934
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ascension St John Medical Center is $10,934. 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 0.85x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,934

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: $10,934 (85%)

Ins. Median: $10,934 (85% 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
Communitycare (Select)	$2,735 - $16,401	21%
Communitycare (Standard)	$2,735 - $12,027	21%
Pcc	$6,089	48%
Aetna	$6,781 - $11,033	53%
Medica	$8,300	65%
Cigna	$8,761	68%
Champva	$10,934	85%
Community Care - St John Network Senior - Govt	$10,934	85%
Communitycare Senior	$10,934	85%
Life Pace	$10,934	85%
Longevity Health Plan Of Oklahoma	$10,934	85%
Medicare (plans)	$10,934	85%
UnitedHealthcare	$10,934 - $16,493	85%
Va Community Care Network	$10,934	85%
Veterans Administration	$10,934	85%
First Health	$11,000	86%
Humana	$11,043	86%
Blue Cross Blue Shield	$11,481	90%
Community Care (Select) 7/1/13	$13,121	102%
Ccl&H	$14,214	111%
Smarthealth	$15,308	120%
Community Care Smarthealth	$16,401	128%
Connect Health Benefit	$21,868	171%
Evolutions	$21,868	171%
Kempton Group Administrators	$24,601	192%

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 Ascension St John 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.