CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Las Colinas

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $19,375
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Las Colinas is $19,375. 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 1.51x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,375

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: $19,375 (151%)
Ins. Median: $19,375 (151% 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 $17,581 - $51,975 137%
Wellmed $17,886 140%
Amerigroup $17,940 140%
Blue Cross Blue Shield $17,940 140%
Integranet $17,940 140%
Triwest Veterans $17,940 140%
Wellcare $17,940 140%
Care N Care $18,119 141%
Cigna $18,299 - $60,538 143%
Devoted Health $18,299 143%
Mutual Of Omaha $18,299 143%
Provider Partners Health Plan $18,299 143%
Texas Independent Health Plan $18,299 143%
American Health Plan Of Texas, Inc. $18,837 147%
Procare Advantge $18,837 147%
Superior Health Plan $18,837 147%
Imperial Insurance Company $19,016 148%
Universal Healthcare Group $19,375 151%
Molina $19,554 153%
Verda Health Plan $19,734 154%
Bravo Health $19,913 155%
Oscar $20,066 157%
Healthcare Highways $22,521 176%
Curative Administrators $24,061 188%
Usa Managed Care $24,371 190%
Evry Health $24,902 194%
Corvel Corporation $25,397 198%
Molina Healthcare $31,113 243%
Superior $32,112 - $40,185 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals