CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Dallas Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,613
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Dallas Hospital is $16,613. 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 1.30x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,613

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: $16,613 (130%)
Ins. Median: $16,613 (130% 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
Healthsmart Preferred Care $1,318 10%
Aetna $2,725 - $30,452 21%
United $4,294 - $68,292 34%
Multiplan Phcs $11,348 89%
Humana $15,075 - $51,975 118%
Wellmed $15,337 120%
Amerigroup $15,383 120%
Blue Cross Blue Shield $15,383 120%
Integranet $15,383 120%
Triwest Veterans $15,383 120%
Wellcare $15,383 120%
Care N Care $15,537 121%
Cigna $15,690 - $77,775 123%
Devoted Health $15,690 123%
Mutual Of Omaha $15,690 123%
Provider Partners Health Plan $15,690 123%
Texas Independent Health Plan $15,690 123%
American Health Plan Of Texas, Inc. $16,152 126%
Procare Advantge $16,152 126%
Superior Health Plan $16,152 126%
Imperial Insurance Company $16,306 127%
Universal Healthcare Group $16,613 130%
Molina $16,767 131%
Verda Health Plan $16,921 132%
Bravo Health $17,075 133%
Fidelis Securecare $17,382 136%
Religious Order Of Jehovah Witness $17,690 138%
Oscar $20,066 157%
Usa Managed Care $20,897 163%
Healthcare Highways Ntx $21,655 169%
Corvel Corporation $21,777 170%
Healthcare Highways $22,521 176%
Curative Administrators $24,061 188%
Evry Health $24,902 194%
Superior $27,535 - $34,457 215%
Molina Healthcare $31,778 248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals