CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Thomas Rutherford Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $11,915
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Saint Thomas Rutherford Hospital is $11,915. 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 0.93x the Medicare baseline. Located in 1700 Medical Center Parkway, Murfreesboro, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,915

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: $11,915 (93%)

Ins. Median: $11,915 (93% 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
Amerigroup Mcaid Replacement	$6,755 - $8,568	53%
Oscar Health	$8,343 - $8,394	65%
Cigna	$9,230 - $26,246	72%
Point Comfort Underwriters	$10,371	81%
Smart Health	$10,594 - $16,133	83%
Medicare (plans)	$10,832 - $12,100	85%
UnitedHealthcare	$11,485 - $15,974	90%
Ascension Complete	$11,524	90%
Centurion Of Tn	$11,524	90%
Covid Uninsured Test Fund	$11,524	90%
Healthspring Mcr Replacement	$11,524	90%
Humana	$11,524 - $11,794	90%
Nhc Advantage	$11,524	90%
Triwest Va Pccc	$11,524	90%
Aetna	$11,754 - $20,300	92%
Amerigroup Mcr Replacement	$11,869	93%
Blue Cross Blue Shield	$11,985 - $39,788	94%
Ambetter / Centene	$14,981	117%

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 $X.
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 Saint Thomas Rutherford 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.