CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Arlington

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $19,754
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Arlington is $19,754. 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 1.54x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,754

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: $19,754 (154%)
Ins. Median: $19,754 (154% 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 $2,433 - $30,452 19%
United $4,294 - $68,292 34%
Multiplan Phcs $11,348 89%
Humana $18,349 - $51,975 143%
Wellmed $18,668 146%
Amerigroup $18,724 146%
Blue Cross Blue Shield $18,724 146%
Integranet $18,724 146%
Triwest Veterans $18,724 146%
Wellcare $18,724 146%
Care N Care $18,911 148%
Cigna $19,098 - $63,161 149%
Devoted Health $19,098 149%
Mutual Of Omaha $19,098 149%
Provider Partners Health Plan $19,098 149%
Texas Independent Health Plan $19,098 149%
American Health Plan Of Texas, Inc. $19,660 154%
Procare Advantge $19,660 154%
Superior Health Plan $19,660 154%
Imperial Insurance Company $19,847 155%
Oscar $20,066 157%
Universal Healthcare Group $20,222 158%
Molina $20,409 159%
Verda Health Plan $20,596 161%
Bravo Health $20,783 162%
Fidelis Securecare $21,158 165%
Healthcare Highways $22,521 176%
Curative Administrators $24,061 188%
Evry Health $24,902 194%
Usa Managed Care $25,436 199%
Corvel Corporation $26,507 207%
Molina Healthcare $32,071 250%
Superior $33,516 - $41,941 262%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals