CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Landmark Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $15,836
Cash Discount Price: $16,591
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Landmark Medical Center is $15,836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,591. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.24x the Medicare baseline. Located in 115 Cass Avenue, Woonsocket, RI.

Cash / Self-Pay

$16,591

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,836

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: $16,591 (130%)

Insurance Median: $15,836 (124%)

Cash: $16,591 (130% of Medicare)

Ins. Median: $15,836 (124% 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
Neighborhood Health Plan	$14,766 - $15,928	115%
Aetna	$14,994	117%
Tufts Health Plan	$14,994 - $30,694	117%
Ubh	$14,994	117%
UnitedHealthcare	$14,994 - $16,591	117%
Common Wellthcare Alliance	$15,294 - $15,744	119%
Wellcare	$15,294 - $17,421	119%
Humana	$16,591	130%
Medicare (plans)	$16,591	130%
Employer Direct Healthcare	$21,569	168%
National Healthcare Solutions	$26,546	207%
Tricare	$27,652	216%

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 $16,591.
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 Landmark 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.