CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Luke's Sugar Land Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $19,026
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at St Luke's Sugar Land Hospital is $19,026. 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 1.49x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,026

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: $19,026 (149%)
Ins. Median: $19,026 (149% 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
Renaissance $10,922 85%
United $12,784 - $20,970 100%
Healthsmart $14,655 114%
Kelsey $14,676 115%
Blue Cross Blue Shield $15,169 118%
Cigna $15,169 - $42,608 118%
Humana $15,169 - $19,178 118%
Selectcare $15,169 118%
Aetna $15,473 - $23,361 121%
UnitedHealthcare $15,473 121%
Amerivantage $15,624 122%
Devoted $16,231 127%
Scanhealth $16,231 127%
Kindred $16,686 130%
Kelseycare $20,479 160%
Independent Med System $22,722 177%
Community Health Choice $22,754 178%
Superior Health Plan $22,754 178%
Wellpoint $22,754 178%
PHCS $33,430 261%
PHCS Savility $33,430 261%
Nx Health $49,300 385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1317 Lake Pointe Parkway, Sugar Land, TX 77478
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals