CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Harlingen Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $14,173
Cash Discount Price: $14,173
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Harlingen Medical Center is $14,173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,173. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.11x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.

Cash / Self-Pay

$14,173

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,173

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%)

Cash / Self-Pay: $14,173 (111%)

Insurance Median: $14,173 (111%)

Cash: $14,173 (111% of Medicare)

Ins. Median: $14,173 (111% 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
Keenan	$9,000	70%
Humana	$12,756 - $14,173	100%
Aetna	$14,173 - $17,998	111%
Blue Cross Blue Shield	$14,173	111%
Careworks Worker Compensation Fka Rockport Community Network	$14,173	111%
Cigna	$14,173 - $14,598	111%
Corporate Remedies Worker Compensation	$14,173	111%
Medicare (plans)	$14,173	111%
San Benito Medical Associates	$14,173	111%
Superior Health Plan	$14,173	111%
Texas Bluebonnett Health Plan	$14,173 - $23,385	111%
UnitedHealthcare	$14,173	111%
Wellmed	$14,173	111%
Workers Compensation	$14,173	111%
Molina	$14,882 - $21,968	116%
Provider Partners Health Plan	$14,882	116%
Imperial Insurance Company	$15,023	117%
Asserta Health	$18,425	144%
Employer Direct Healthcare	$18,425	144%
Friday Health Plan	$18,425	144%
Magic Valley Electric Cooperative	$18,425	144%
Superior Health Commercial Exchange	$18,425	144%
Tricare	$21,007	164%
Naphcare	$21,968	172%
Baker Benefits Administrators	$24,803	194%

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 $14,173.
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 Harlingen Medical Center 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.