CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Lewisville

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,026
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Lewisville is $17,026. 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 1.33x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,026

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: $17,026 (133%)

Ins. Median: $17,026 (133% 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
Aetna	$2,433 - $30,452	19%
United	$4,294 - $68,292	34%
Multiplan Phcs	$11,348	89%
Humana	$15,741 - $51,975	123%
Wellmed	$16,014	125%
Amerigroup	$16,063	125%
Blue Cross Blue Shield	$16,063	125%
Integranet	$16,063	125%
Triwest Health Alliance	$16,063	125%
Care N Care	$16,223	127%
Wellcare	$16,223	127%
Cigna	$16,384 - $60,538	128%
Devoted Health	$16,384	128%
Provider Partners Health Plan	$16,384	128%
Texas Independent Health Plan	$16,384	128%
Mutual Of Omaha	$16,544	129%
American Health Plan Of Texas, Inc.	$16,866	132%
Procare Advantge	$16,866	132%
Superior Health Plan	$16,866	132%
Imperial Insurance Company	$17,026	133%
Universal Healthcare Group	$17,348	135%
Molina	$17,508	137%
Verda Health Plan	$17,669	138%
Bravo Health	$17,829	139%
Fidelis Securecare	$18,151	142%
Oscar	$20,066	157%
Usa Managed Care	$21,821	170%
Healthcare Highways	$22,521	176%
Corvel Corporation	$22,740	178%
Curative Administrators	$24,061	188%
Evry Health	$24,902	194%
Superior	$28,752 - $35,980	225%
Molina Healthcare	$31,408	245%

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 Medical City Lewisville 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.