CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Woodland Heights Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,011
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Woodland Heights Medical Center is $14,011. 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 1.09x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,011

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: $14,011 (109%)
Ins. Median: $14,011 (109% 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
Humana $13,356 104%
Medicare (plans) $13,356 104%
UnitedHealthcare $13,356 104%
Node Triwest $13,593 106%
Blue Cross Blue Shield $13,622 106%
Node Va $13,865 108%
American Health Mcr Adv $13,889 108%
Provider Partners Health Plan $14,001 109%
Node Amerigroup Mcr Adv $14,022 109%
Node Procare Advantage $14,022 109%
Superior $14,022 - $18,487 109%
Cigna $16,757 131%
Node Brookshire Brothers Work Comp Tx $18,079 141%
Usa Managed Care $18,079 141%
Partners Direct Health $19,398 151%
Work Comp $19,438 152%
Node Us Dept Of Labor $19,800 155%
Angelina County $20,390 159%
Corporate Remedies $20,390 159%
Node Brookshire Brothers $23,788 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals