CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Methodist Hospital Atascosa

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $16,757
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Methodist Hospital Atascosa is $16,757. 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 1.31x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$16,757

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: $16,757 (131%)

Ins. Median: $16,757 (131% 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
First Health	$1,356 - $17,866	11%
United	$2,988 - $50,903	23%
Cigna	$4,062 - $48,452	32%
Aetna	$12,244 - $23,234	96%
Wellmed	$15,837	124%
Triwest Va Pccc	$16,100	126%
Gonzaba Medical Group	$16,264	127%
Blue Cross Blue Shield	$16,428	128%
Ilumed	$16,428	128%
Integranet	$16,428	128%
Triwest	$16,428	128%
Clover Insurance	$16,757	131%
Devoted Health	$16,757	131%
Texas Independent Health Plan	$16,757	131%
Wellcare	$16,757	131%
American Health Plan Of Texas	$17,250 - $18,071	135%
Superior Health	$17,250	135%
Imperial Insurance	$17,414	136%
Oscar	$17,577	137%
Healthcare Highways	$23,272	182%
Evry Health	$23,471	183%
Focus Healthcare Management	$23,492	183%
Curative Administrators	$24,061	188%
Focus Health Solutions	$24,130	188%
Valenz	$25,098	196%

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 $X.
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 Methodist Hospital Atascosa 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.