CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Weatherford

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,509
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Weatherford is $16,509. 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 1.29x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,509

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: $16,509 (129%)
Ins. Median: $16,509 (129% 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
Aetna $2,313 - $30,452 18%
United $4,294 - $68,292 34%
Multiplan Phcs $11,348 89%
Blue Cross Blue Shield $15,408 - $15,722 120%
Humana $15,408 - $51,975 120%
Wellmed $15,675 122%
Amerigroup $15,722 123%
Integranet $15,722 123%
Triwest Veterans $15,722 123%
Wellcare $15,722 123%
Care N Care $15,880 124%
Cigna $16,037 - $60,538 125%
Devoted Health $16,037 125%
Mutual Of Omaha $16,037 125%
Provider Partners Health Plan $16,037 125%
Texas Independent Health Plan $16,037 125%
American Health Plan Of Texas, Inc. $16,509 129%
Procare Advantge $16,509 129%
Superior Health Plan $16,509 129%
Imperial Insurance Company $16,666 130%
Verda Health Plan $17,295 135%
Oscar $20,066 157%
Evry Health $24,902 194%
Molina $24,999 195%
Superior $28,143 - $35,218 220%
Molina Healthcare $30,719 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 713 E Anderson St, Weatherford, TX 76086
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals