CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Knapp Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,374
Cash Discount Price: $17,819
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Knapp Medical Center is $17,374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,819. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.36x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.

Cash / Self-Pay

$17,819

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,374

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%)

Cash / Self-Pay: $17,819 (139%)

Insurance Median: $17,374 (136%)

Cash: $17,819 (139% of Medicare)

Ins. Median: $17,374 (136% 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
Corvel	$12,474	97%
Zelis Healthcare Fka Stratose	$13,365	104%
Provider Network Of America	$14,256	111%
Provider Select	$15,592	122%
Three Rivers	$16,038	125%
Blue Cross Blue Shield	$16,104 - $17,820	126%
Cigna	$16,104 - $16,587	126%
Superior Health Plan	$16,104 - $23,165	126%
Texas Bluebonnet Health Plan	$16,104 - $29,402	126%
UnitedHealthcare	$16,104	126%
Wellmed Aarp Ma Fka Physicians Health Choice	$16,104	126%
Molina	$16,909 - $27,620	132%
Multiplan	$16,909	132%
Provider Partners Health Plan	$16,909	132%
Imperial Insurance Companies	$17,070	133%
Americas Choice Provider Network (Acpn)	$17,285	135%
Division Of Immigration Health	$17,463	136%
Corporate Remedies (Wc)	$17,820	139%
Coventry (First Health)	$17,820	139%
Medicare (plans)	$17,820	139%
Prime Health Services	$17,820	139%
Worker Comp	$17,820	139%
Magic Valley Electric Cooperative	$20,935	163%
Employer Direct Healthcare	$23,165	181%
Frontier Health (Fka Asserta Health)	$23,165	181%
Tricare	$23,169	181%
Naphcare	$24,961	195%
Occunet	$28,181	220%
National Healthcare Solutions, Inc. (Nhsi) And Independent Medical Solutions (Ims)	$28,511	223%
Baker Benefits Administrators	$31,184	243%

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 $17,819.
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 Knapp Medical Center 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.