CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,043
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Houston Healthcare Kingwood is $17,043. 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 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,043

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: $17,043 (133%)
Ins. Median: $17,043 (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.

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
Coventry National First Health $1,941 - $2,855 15%
United $2,591 - $40,000 20%
Aetna $11,891 - $21,330 93%
Averde Health $15,867 124%
Humana $16,191 - $25,863 126%
Oscar $16,375 - $20,609 128%
Cigna $16,542 - $35,854 129%
Wellmed $16,542 129%
Amerigroup $16,709 130%
Blue Cross Blue Shield $16,709 130%
Chc Harris Health $16,709 130%
Integranet Amerigroup Ipa $16,709 130%
Kelsey Seybold $16,709 130%
Texas Healthcare Foundation $16,709 130%
Triwest Healthcare Alliance $16,709 130%
Texas Independent Health Plan $16,876 132%
Van Lang Ipa $16,876 132%
Wellcare $16,876 132%
Devoted Health $17,043 133%
Provider Partners Health Plan Of Texas $17,043 133%
Imagine Health $17,491 137%
American Health Plan $17,544 137%
Procare Advantage $17,544 137%
Superior Health Plan $17,544 137%
Shared Health $17,879 140%
Universal Healthcare Group $18,046 141%
Fidelis Securecare Of Tx $18,213 142%
Molina $18,213 142%
Verda Health Plan $18,380 144%
Kelsey Care (Boon-Chapman) $18,651 146%
Healthcare Highways $21,450 167%
Usa Managed Care $22,699 177%
Corvel Corporation $23,655 185%
Curative Administrators $24,061 188%
Community Health Choice $24,228 189%
Evry Health $24,645 192%
Omni Healthcare $25,089 196%
Molina Healthcare $25,660 200%
Superior $25,899 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals