CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Laredo Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,677
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Laredo Medical Center is $17,677. 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 1.38x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,677

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: $17,677 (138%)
Ins. Median: $17,677 (138% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Multiplan Primary $15,684 122%
Humana $16,570 129%
Medicare (plans) $16,570 - $17,637 129%
UnitedHealthcare $16,570 - $33,746 129%
Blue Cross Blue Shield $16,901 132%
Aetna $17,066 133%
American Health $17,232 135%
Provider Partners Health Plan $17,379 136%
Node Amerigroup Mcr Adv $17,397 136%
Node Tihp Mcr Adv $17,397 136%
Superior $17,397 136%
Node Wellpoint Mcr Adv $17,717 138%
Node Ice Health Service Corps $17,961 140%
Triwest $18,039 141%
Node Va $18,321 143%
Industrial Rehab $20,656 161%
Node Molina Health Exchange $20,943 164%
Node Brookshire Brothers Work Comp Tx $23,889 187%
Health Smart $24,401 191%
Coventry Hcn Tx Work Comp $24,428 191%
Node Us Dept Of Labor $25,625 200%
Tx Work Comp $25,685 201%
Imo Work Comp $29,538 231%
Node Brookshire Brothers $31,433 245%
Node Naphcare $35,923 280%
Node Superior Commercial Exchange $35,923 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals