CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Methodist Hospitals of Memphis

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $14,579
Cash Discount Price: $25,638
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Methodist Hospitals of Memphis is $14,579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,638. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.14x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$25,638

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,579

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: $25,638 (200%)

Insurance Median: $14,579 (114%)

Cash: $25,638 (200% of Medicare)

Ins. Median: $14,579 (114% 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
UnitedHealthcare	$1,397 - $28,915	11%
Medicaid / KanCare	$2,500 - $11,568	20%
Blue Cross Blue Shield	$10,125 - $34,882	79%
Tricare	$12,681	99%
American Health Advantage Mcr Adv [450117]	$14,579	114%
Carecentrix [450200]	$14,579	114%
Generic Hospice Vbid [10940000101]	$14,579	114%
Humana	$14,579	114%
Medicare (plans)	$14,579 - $15,611	114%
Va Hospital [600005]	$14,579	114%
Devoted Health [450111]	$15,017	117%
Cigna	$15,424 - $31,657	120%
Health Plans Inc [100282]	$15,611	122%
United Food & Commercial Workers [100309]	$31,657	247%

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 $25,638.
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 Methodist Hospitals of Memphis 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.