CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,233
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Tennova Healthcare - Newport Medical Center is $14,233. 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 1.11x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,233

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: $14,233 (111%)
Ins. Median: $14,233 (111% 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
Medicaid / KanCare $1,865 15%
UnitedHealthcare $1,865 - $15,049 15%
Novanet Work Comp Tn $2,324 18%
Tn Work Comp $2,347 18%
Self Pay $4,132 32%
Bluecare $7,383 - $9,219 58%
Aetna $10,938 - $14,387 85%
Node Bluecare Plus Tn Mcr Adv $11,727 92%
Node Wellcare Mcr Adv $12,309 96%
Humana $13,969 109%
Medicare (plans) $13,969 109%
Node Devoted Health Mcr Adv $14,248 111%
Node Farm Bureau Mcr Adv $14,248 111%
Blue Cross Blue Shield $14,387 - $26,270 112%
Node Healthspring Mcr Adv $14,387 112%
Node Va $14,503 113%
Amerigroup $14,666 115%
Windsor Health Plan $14,668 115%
Node Nhc Mcr Adv $15,362 120%
Us Department Of Labor $20,634 161%
Ambetter / Centene $26,305 205%
Point Comfort Underwriters $30,690 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals