CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baylor Scott & White Heart & Vascular Hospital - Dallas

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $18,603
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Baylor Scott & White Heart & Vascular Hospital - Dallas is $18,603. 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 1.45x the Medicare baseline. Located in 621 North Hall Street, Dallas, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,603

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: $18,603 (145%)
Ins. Median: $18,603 (145% 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
Baylor Scott & White Health Plan $12,415 - $23,523 97%
Aetna $13,068 - $33,685 102%
Humana $13,068 102%
Triwest $13,068 102%
Corvel $13,690 107%
Prime Health Services $13,690 107%
American Health Plan $13,722 107%
Blue Cross Blue Shield $13,722 - $33,720 107%
Healthspring $13,722 107%
Procare Advantage $13,722 107%
Superior Health Plan $13,722 107%
UnitedHealthcare $15,028 - $38,536 117%
University Of Mary Hardin-Baylor $15,568 122%
Cigna $22,411 - $26,365 175%
Healthsmart $24,262 - $32,902 189%
Employers Health Network $24,951 195%
Private Health Care System $26,466 207%
Ambetter / Centene $29,534 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 621 North Hall Street, Dallas, TX 75226
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals