CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $13,700
Cash Discount Price: $25,240
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Oklahoma Heart Hospital, LLC is $13,700. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,240. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.07x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$25,240

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,700

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: $25,240 (197%)

Insurance Median: $13,700 (107%)

Cash: $25,240 (197% of Medicare)

Ins. Median: $13,700 (107% 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	$9,631 - $17,575	75%
Humana	$9,631 - $16,103	75%
Blue Cross Blue Shield	$12,043	94%
Cigna	$12,043 - $13,700	94%
Geha	$12,043	94%
Medicare (plans)	$12,043 - $12,404	94%
UnitedHealthcare	$12,043	94%
Va Ccn	$12,043	94%
Global Health	$15,320	120%
Sana Benefits	$15,444	121%
Ufcw	$15,444	121%
Ambetter / Centene	$16,860	132%
Community Care	$17,169 - $18,065	134%
Phcs	$18,088	141%
Healthcare Highways	$20,034	156%
Healthscope	$20,473	160%
Oscar Insurance Company	$20,473	160%
The Kempton Group	$21,678	169%

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 $25,240.
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 Oklahoma Heart Hospital, LLC 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.