CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: University Medical Center
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $20,024
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at University Medical Center is $20,024. 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 1.56x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$20,024
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: $20,024 (156%)
Ins. Median: $20,024 (156% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Sierra Health and Life | $1,538 - $37,665 | 12% |
| Molina | $1,538 - $29,636 | 12% |
| Ambetter / Centene | $1,538 - $31,037 | 12% |
| Blue Cross Blue Shield | $1,538 - $20,024 | 12% |
| UnitedHealthcare | $2,925 - $27,613 | 23% |
| American Postal Workers Health Plan | $2,925 - $27,613 | 23% |
| Surest | $2,925 - $27,613 | 23% |
| Las Vegas Sand Corps | $2,925 - $27,613 | 23% |
| Southwest Carpenters H&W | $3,337 - $9,561 | 26% |
| Operating Engineers | $3,337 - $26,755 | 26% |
| California Ironwork Field Welfare | $3,337 - $9,561 | 26% |
| So Ca Pipe Trades H&W | $3,337 - $9,561 | 26% |
| Sheet Metal Workers | $3,337 - $9,561 | 26% |
| Cigna | $4,380 | 34% |
| Great West Healthcare | $4,380 | 34% |
| Kaiser | $4,380 | 34% |
| Cirque De Soleil | $4,380 | 34% |
| National Security Technologies | $4,380 | 34% |
| Coventry | $4,574 | 36% |
| Mail Handlers Benefit Plan | $4,574 | 36% |
| Nevada Energy | $4,574 | 36% |
| Aetna | $4,574 - $35,042 | 36% |
| Hometown Health Plan of Nevada | $4,856 | 38% |
| One Health Plan | $4,856 | 38% |
| First Health | $5,517 | 43% |
| Three Rivers Provider Network | $5,517 | 43% |
| Health Net | $5,517 | 43% |
| Beech Street | $14,850 | 116% |
| Aig | $14,850 | 116% |
| P3 Health Partners Nevada | $20,024 | 156% |
| Healthcare Partners of Nevada | $20,024 | 156% |
| Advantra Freedom | $20,024 | 156% |
| Selecthealth | $20,024 - $29,636 | 156% |
| Allwell | $20,024 | 156% |
| VA Pc3 (VA Choice) | $20,024 | 156% |
| Alignment Health | $20,024 | 156% |
| Scan | $20,024 | 156% |
| Mirage Las Vegas | $26,755 | 209% |
| Bricklayers Local 13 | $26,755 | 209% |
| Resorts World Las Vegas | $26,755 | 209% |
| Electrical Workers | $26,755 | 209% |
| Clark County Self Funded | $26,755 | 209% |
| Teamsters Local 986 | $26,755 | 209% |
| Caesar's Entertainment | $26,755 | 209% |
| City of Henderson | $26,755 | 209% |
| Nevada Hand | $26,755 | 209% |
| Switch | $26,755 | 209% |
| Boyd Group | $26,755 | 209% |
| Culinary Workers Hwf | $26,755 | 209% |
| Las Vegas Firefighters 1285 | $26,755 | 209% |
| Plumbers & Pipefitters Loc 525 | $26,755 | 209% |
| City of North Las Vegas | $26,755 | 209% |
| Employee Painters Trust | $26,755 | 209% |
| Ufcw Local 711 Retail Clerks | $26,755 | 209% |
| Clark County Firefighters 1908 | $26,755 | 209% |
| Teamsters Local 14 | $26,755 | 209% |
| Cement Masons & Plasters H&W | $26,755 | 209% |
| Mgm Grand | $26,755 | 209% |
| Wynn Resorts | $26,755 | 209% |
| Laborers Health and Welfare | $26,755 | 209% |
| Las Vegas Metro Police Dept | $26,755 | 209% |
| Clark County EPO | $26,755 | 209% |
| Teamsters Local 631 | $26,755 | 209% |
| Health Direct Partners | $32,239 | 252% |
| State of Nevada | $37,665 | 294% |
| Golden Nugget Hotel & Casino | $37,665 | 294% |
| Pli Las Vegas | $37,665 | 294% |
| Marshall Retail Group | $37,665 | 294% |
| Golden Entertainment | $37,665 | 294% |
| Venetian/Palazzo | $37,665 | 294% |
| P3 Health Partners | $37,665 | 294% |
| Arroweye Solutions | $37,665 | 294% |
| Truline Corporation | $37,665 | 294% |
| Stations Casinos | $37,665 | 294% |
| Teacher's Health Trust | $37,665 | 294% |
| Rebel Oil Company | $37,665 | 294% |
| Dignity Health | $37,665 | 294% |
| Nevada Preferred Professionals | $40,048 | 313% |
| Jw Marriott | $40,048 | 313% |
| Universal Health Network (Uhn) | $40,048 | 313% |
| Prominence Health Plan | $40,048 | 313% |