CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: The Medical Center of Southeast Texas

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $14,270
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at The Medical Center of Southeast Texas is $14,270. 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 1.11x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,270

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: $14,270 (111%)

Ins. Median: $14,270 (111% 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
Iasis Employees	$1,842	14%
Aetna	$2,307	18%
UnitedHealthcare	$3,838 - $18,160	30%
Humana	$3,861 - $13,771	30%
Blue Cross Blue Shield	$10,955 - $14,270	86%
Private Healthcare Systems	$11,430	89%
Tricare	$14,068	110%
Amerigroup	$14,270	111%
Healthspring	$14,270	111%
Medicare (plans)	$14,270	111%
Selectcare	$14,270	111%
Superior Healthplan	$14,270	111%
Caresact	$14,528	113%
Triwest	$14,528	113%
Molina Healthcare	$14,555 - $19,613	114%
Provider Partners Health Plan	$14,555	114%
Tihp (Texas Independence Health Plan)	$14,555	114%
Cccn Pro Advantage	$14,983	117%
Wellcare Of Texas	$14,983	117%
Cigna	$15,053 - $16,281	118%
League Medical Concepts	$15,697	123%
Community Health Choice	$17,433	136%
Employer Direct Healthcare	$18,160	142%
Texas Medical Management Partners	$18,160	142%
Wellpath	$20,048	157%
Texas Workers Compensation	$20,775	162%
Corporate Remedies	$21,405	167%
Elap Services	$28,112	220%

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 The Medical Center of Southeast Texas 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.