CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Blount Memorial Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $11,773
Cash Discount Price: $23,437
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Blount Memorial Hospital is $11,773. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,437. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.92x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$23,437

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,773

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: $23,437 (183%)

Insurance Median: $11,773 (92%)

Cash: $23,437 (183% of Medicare)

Ins. Median: $11,773 (92% 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
Medicaid / KanCare	$5,073 - $11,079	40%
UnitedHealthcare	$5,073 - $13,682	40%
Cigna	$8,514 - $13,749	66%
Mvp Health Care [3037]	$8,514	66%
Golden Rule Insurance Company [2991]	$11,743	92%
Oxford Health Plans [2992]	$11,743	92%
Blue Cross Blue Shield	$11,773 - $23,028	92%
Humana	$11,773	92%
Medicare (plans)	$11,773 - $13,749	92%
Ambetter / Centene	$20,690	162%
Consociate Health Contracted [4835]	$24,027	188%
Fairos/Occunet Contracted [4837]	$29,367	229%
Preferred Administrators Contracted [2839]	$31,307	244%
Promise Health Plan Contracted [2401]	$34,378	268%

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 $23,437.
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 Blount Memorial Hospital 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.