CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Christus Mother Frances Hospital- Winnsboro

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $2,860
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Christus Mother Frances Hospital- Winnsboro is $2,860. 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 0.22x the Medicare baseline. Located in 719 West Coke Road, Winnsboro, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,860

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: $2,860 (22%)
Ins. Median: $2,860 (22% 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
Coventry $1,355 11%
Christus Health $2,500 - $3,685 20%
Allwell $2,632 21%
Blue Cross Blue Shield $2,632 - $18,258 21%
Cigna $2,632 - $29,942 21%
Humana $2,632 - $3,408 21%
Triwest $2,632 21%
UnitedHealthcare $2,632 - $18,179 21%
Washington National $2,632 21%
Wellcare $2,632 21%
Peoples Health $2,711 21%
Provider Partners Health Plan $2,711 21%
Shared Health Insurance Company $2,764 22%
Amerigroup $2,843 22%
Aetna $2,860 22%
Imperial Health Plan $2,895 23%
Medicare (plans) $2,895 23%
Procare Advantage $2,895 23%
Naphcare Inc. $6,054 47%
Phcs $9,371 73%
Healthcare Highways $15,132 118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 719 West Coke Road, Winnsboro, TX 75494
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals