CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Legacy Mount Hood Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $18,813
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Legacy Mount Hood Medical Center is $18,813. 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 1.47x the Medicare baseline. Located in 24800 Se Stark Street, Gresham, OR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,813

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: $18,813 (147%)
Ins. Median: $18,813 (147% 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.

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
Kaiser $16,949 - $33,897 132%
Atrio $17,457 136%
UnitedHealthcare $17,457 - $39,525 136%
Aetna $17,796 - $48,482 139%
Blue Cross Blue Shield $17,796 - $38,100 139%
Devoted Health $17,796 139%
Humana $17,796 139%
Healthnet $17,966 140%
Careoregon $18,304 143%
Pacificsource $18,304 - $33,656 143%
Ageright $18,643 146%
Cigna $18,643 146%
Providence $18,643 146%
Moda $18,982 - $44,820 148%
Summit Health $18,982 148%
Health 2 Business $32,564 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 24800 Se Stark Street, Gresham, OR 97030
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals