CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Fort Worth

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,395
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Fort Worth is $16,395. 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 1.28x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,395

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: $16,395 (128%)
Ins. Median: $16,395 (128% 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%
American Hospice $14,833 116%
Humana $15,302 - $51,975 119%
Blue Cross Blue Shield $15,360 120%
Wellmed $15,567 122%
Amerigroup $15,614 122%
Integranet $15,614 122%
Triwest $15,614 122%
Wellcare $15,614 122%
Care N Care $15,770 123%
Cigna $15,926 - $63,161 124%
Devoted Health $15,926 124%
Mutual Of Omaha $15,926 124%
Provider Partners Health Plan $15,926 124%
Texas Independent Health Plan $15,926 124%
American Health Plan Of Texas, Inc. $16,395 128%
Procare Advantge $16,395 128%
Superior Health Plan $16,395 128%
Imperial Insurance Company $16,551 129%
Universal Healthcare Group $16,863 132%
Molina $17,019 133%
Verda Health Plan $17,176 134%
Bravo Health $17,332 135%
Fidelis Securecare $17,644 138%
Oscar $20,066 157%
Usa Managed Care $21,212 166%
Corvel Corporation $22,105 173%
Healthcare Highways $22,521 176%
Curative Administrators $24,061 188%
Evry Health $24,902 194%
Superior $27,949 - $34,976 218%
Molina Healthcare $31,618 247%
UnitedHealthcare $42,000 328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals