CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Christus St Michael Health System

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $12,077
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Christus St Michael Health System is $12,077. 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 0.94x the Medicare baseline. Located in 2600 St Michael Dr, Texarkana, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,077

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: $12,077 (94%)

Ins. Median: $12,077 (94% 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
Ppoplus Llc	$2,960	23%
Zelis	$2,960	23%
Aetna	$3,259 - $11,725	25%
Five Point Credit Union	$4,190 - $10,056	33%
Healthcare Highways	$5,111	40%
Beechstreet	$9,371	73%
Multiplan	$9,371	73%
Phcs	$9,371	73%
Christus Health	$11,139 - $16,415	87%
Blue Cross Blue Shield	$11,725 - $25,199	92%
Coventry	$11,725	92%
Humana	$11,725 - $32,582	92%
Molina	$11,725	92%
Texas Healthspring	$11,725	92%
Triwest	$11,725	92%
UnitedHealthcare	$11,725 - $32,582	92%
Windsor	$11,725	92%
Provider Partners Health Plan	$12,077	94%
Texas Independence Health Plan	$12,077	94%
Shared Health Insurance Company	$12,311	96%
Tribute Health Plan	$12,311	96%
Us Imaging Network	$12,546	98%
Amerigroup	$12,663	99%
Imperial Health Plan	$12,897	101%
Medicare (plans)	$12,897	101%
Procare Advantage	$12,897	101%
Cigna	$20,402	159%
State Of Oklahoma	$22,020	172%
Qualchoice	$25,933	202%
Naphcare Inc.	$26,967	211%
Healthsmart	$28,547	223%

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 Christus St Michael Health System 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.