CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Colleton Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,394
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Colleton Medical Center is $14,394. 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 1.12x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,394

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: $14,394 (112%)
Ins. Median: $14,394 (112% 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
Absolute Total Care $2,020 - $29,786 16%
Select Health $2,312 - $16,639 18%
United $4,200 - $49,255 33%
Sc State Employees $5,704 - $36,767 45%
Arcadian $11,985 - $14,394 94%
Blue Cross Blue Shield $11,985 - $92,294 94%
Hospice Care $11,985 - $14,394 94%
Humana $11,985 - $14,394 94%
Odyssey Hospice $11,985 - $14,394 94%
Regency Hospice $11,985 - $14,394 94%
United Behavioral Health $11,985 - $14,394 94%
United Hospice $11,985 - $14,394 94%
Aetna $12,105 - $14,538 95%
Clover $12,225 - $14,681 95%
Devoted Health $12,225 - $14,681 95%
Molina $12,225 - $15,139 95%
Wellcare $12,225 - $14,681 95%
Boldage Pace $12,345 - $14,825 96%
Apex Health $12,465 97%
Eon Health $12,465 - $14,969 97%
Nhc Advantage $12,465 - $14,969 97%
Pruitt Health $12,465 - $14,969 97%
Cigna $12,585 - $15,113 98%
Universal Healthcare Group $12,944 - $15,545 101%
Corvel Corporation $16,444 - $19,748 128%
Employer'S Health Network $16,444 - $19,748 128%
Prime Health $16,444 - $19,748 128%
Heritage Summit $17,619 - $21,159 138%
Medical Development $17,978 140%
Seven Corners $20,975 - $25,189 164%
Naphcare $23,372 - $28,068 182%
Multiplan $31,554 - $32,379 246%
Blue Choice Health Plan $48,254 - $50,426 377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals