CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,610
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Las Palmas Medical Center A Campus of Lpds Healthc is $17,610. 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 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,610

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: $17,610 (138%)
Ins. Median: $17,610 (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.

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
Multiplan $1,300 - $1,500 10%
Healthsmart Preferred Care $1,433 11%
El Paso First Health Plan $1,487 12%
Advantage Care Network $2,512 20%
Aetna $4,039 - $20,408 32%
United $6,000 - $68,000 47%
First Health $8,091 63%
Integrated Medical Systems $9,923 77%
St David’S Hospice $15,849 124%
Blue Cross Blue Shield $17,257 - $17,610 135%
Bienvivir Senior Health $17,434 136%
Wellmed $17,522 137%
Alignment Health Plan $17,610 138%
Amerigroup $17,610 138%
Arcadian Health Plan $17,610 138%
Cigna $17,610 - $42,626 138%
Clover Insurance Company $17,610 138%
Triwest Healthcare Alliance $17,610 138%
UnitedHealthcare $17,610 138%
Devoted Health $17,962 140%
Provider Partners Health Plan $17,962 140%
American Health Plan Of Texas $18,490 - $19,371 144%
Superior Health Plan $18,490 - $27,295 144%
Wellcare Of Tx $18,490 144%
Western Sky Community Care $18,490 144%
Bravo Health $18,666 146%
Imperial Insurance $18,666 146%
Shared Health $18,842 147%
Universal Health Pffs Nc $19,018 148%
Molina Healthcare Mcr $19,194 150%
Pyramid Life $19,371 151%
Curative Administrators $24,061 188%
Corvel Corporation $25,006 195%
Oscar $26,315 205%
Molina Healthcare $29,028 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals