CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Tristar Centennial Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,775
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Tristar Centennial Medical Center is $14,775. 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 1.15x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,775

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: $14,775 (115%)
Ins. Median: $14,775 (115% 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
Prime Health $2,253 18%
Novanet $2,300 18%
United $3,047 - $32,041 24%
Corvel Corporation $3,450 27%
Blue Cross Blue Shield $9,957 - $42,485 78%
Wellpoint $12,312 96%
Alive Hospice, Inc. $13,761 107%
Ambetter / Centene $13,935 - $14,492 109%
Bright Health $14,340 - $18,998 112%
Amerigroup $14,485 113%
Humana $14,485 - $22,157 113%
Odyssey Healthcare $14,485 113%
Sarah Cannon Research $14,485 113%
United Behavioral Health $14,485 113%
Aetna $14,630 - $43,768 114%
Devoted Health Plan $14,775 115%
Healthspring $14,775 115%
Apex Health $14,919 116%
Evergreen Hmo $14,919 116%
Signature Advantage $14,919 116%
Wellcare $14,919 116%
Zing $14,919 - $15,933 116%
American Health Advantage $15,064 118%
Atrio Golden Times $15,064 118%
Nhc Advantage, Inc. $15,064 118%
Pruitt Health (Allyalign) $15,064 118%
Cigna $18,507 - $21,031 145%
Oscar $20,271 158%
Multiplan $29,909 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Patterson Street, Nashville, TN 37203
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals