CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baylor Scott & White Medical Center - Centennial

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,527
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Baylor Scott & White Medical Center - Centennial is $16,527. 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 1.29x the Medicare baseline. Located in 12505 Lebanon Road, Frisco, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,527

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: $16,527 (129%)
Ins. Median: $16,527 (129% 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 $13,084 - $24,790 102%
Humana $13,772 108%
Triwest $13,772 108%
Wellpoint (Fka Amerigroup) $14,186 111%
Corvel $14,428 113%
Prime Health Services $14,428 113%
American Health Plan $14,461 113%
Blue Cross Blue Shield $14,461 - $26,434 113%
Healthspring $14,461 113%
Molina $14,461 113%
Procare Advantage $14,461 113%
Superior Health Plan $14,461 113%
University Of Mary Hardin-Baylor $15,568 122%
UnitedHealthcare $15,838 - $41,250 124%
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 $31,126 243%
Aetna $33,685 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12505 Lebanon Road, Frisco, TX 75035
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals