Heart stent placement (inpatient stay)
Facility: Salina Regional Health Center
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $65,394
- Cash Discount Price: $50,862
- vs. Medicare Baseline: 5.11x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 511% of the Medicare baseline (a markup of 411%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $43,596 | 340% |
| Preferred Healthcare - All Other Plans | $58,855 | 460% |
| Blue Cross Blue Shield | $61,761 - $72,660 | 482% |
| Providers Care (Wppa)-All Plans | $65,394 | 511% |
| Aetna | $65,394 | 511% |
| Multiplan (Mpi)-All Plans | $65,394 | 511% |
| Cigna | $65,394 | 511% |
Consumer Guidance & Cost Commentary
Salina Regional Health Center, located at 400 South Santa Fe Avenue in Salina, KS, reported a cash median rate of $50,862 for a heart stent placement (inpatient stay) during the 2026-06 vintage. This cash price is notably lower than the facility's median negotiated rate of $65,394, which aligns with the median paid amount of $65,394 across seven payer plans. For patients with high-deductible plans, paying the cash price of $50,862 upfront may result in significant savings compared to the negotiated rates charged by insurers such as Blue Cross Blue Shield, which has a range from $61,761 to $72,660. Consumers should verify with the hospital regarding "self-pay" or "prompt-pay" discounts, as these programs often reduce the final bill for those who settle accounts before or shortly after the service.
The facility's performance relative to Medicare benchmarks provides a clear baseline for evaluating pricing markups. The reported Medicare amount for this procedure is $12,807.1, and the commercial cash rate of $50,862 represents a markup of 5.1 times the Medicare amount. While the data does not include specific county or state average figures for comparison, the facility's ownership structure is listed as Voluntary non-profit - Private, and it holds a rating of 3. Patients should be aware that comparing rates to the hospital's gross charge of $72,660 can be misleading, as the true cost baseline is the Medicare rate. To ensure transparency and avoid errors, individuals receiving this service