CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical City Alliance

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,577
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Medical City Alliance is $17,577. 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 1.37x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,577

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: $17,577 (137%)

Ins. Median: $17,577 (137% 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
Aetna	$2,433 - $30,452	19%
United	$4,294 - $68,292	34%
Multiplan Phcs	$11,348	89%
Humana	$16,405 - $51,975	128%
Blue Cross Blue Shield	$16,604	130%
Wellmed	$16,690	130%
Amerigroup	$16,740	131%
Integranet	$16,740	131%
Triwest Veterans	$16,740	131%
Care N Care	$16,907	132%
Wellcare	$16,907	132%
Cigna	$17,075 - $60,538	133%
Devoted Health	$17,075	133%
Provider Partners Health Plan	$17,075	133%
Texas Independent Health Plan	$17,075	133%
Mutual Of Omaha	$17,242	135%
American Health Plan Of Texas, Inc.	$17,577	137%
Procare Advantge	$17,577	137%
Superior Health Plan	$17,577	137%
Imperial Insurance Company	$17,744	139%
Molina	$18,246	142%
Verda Health Plan	$18,414	144%
Oscar	$20,066	157%
Healthcare Highways	$22,521	176%
Curative Administrators	$24,061	188%
Evry Health	$24,902	194%
Superior	$29,964 - $37,497	234%
Molina Healthcare	$31,113	243%

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 $X.
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 Medical City Alliance 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.