CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ascension Saint Thomas Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $11,259
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ascension Saint Thomas Hospital is $11,259. 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 0.88x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,259

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: $11,259 (88%)

Ins. Median: $11,259 (88% 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 - $8,584	53%
Oscar Health Plan	$8,150	64%
Oscar Health	$8,394	66%
Amerigroup	$8,584	67%
Cigna	$9,450 - $26,246	74%
Point Comfort Underwriters	$9,643	75%
Americhoice Mcr Replacement	$10,072	79%
Medicare (plans)	$10,072 - $11,250	79%
Tricare	$10,286	80%
Smart Health	$10,594 - $15,001	83%
Ascension Complete	$10,715	84%
Centurion Of Tn	$10,715	84%
Covid Uninsured Test Fund	$10,715	84%
Healthspring Mcr Replacement	$10,715	84%
Humana	$10,715 - $11,267	84%
Nhc Advantage	$10,715	84%
Triwest Va Pccc	$10,715	84%
UnitedHealthcare	$10,715 - $15,974	84%
Aetna	$10,929 - $20,300	85%
Amerigroup Mcr Replacement	$11,036	86%
Blue Cross Blue Shield	$11,143 - $38,649	87%
Phcs	$13,288	104%
Ambetter / Centene	$13,929	109%

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 Ascension Saint Thomas 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.