Heart stent placement (inpatient stay)
Facility: Centura St. Catherine-Dodge City
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $12,930
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.01x 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.
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 |
|---|---|---|
| Cigna | $12,930 | 101% |
| Blue Cross Blue Shield | $12,930 - $23,069 | 101% |
| Medicare (plans) | $12,930 | 101% |
| Kaiser | $12,930 | 101% |
| Humana | $12,930 | 101% |
| Aetna | $12,930 | 101% |
| Kansas Health | $12,930 | 101% |
Consumer Guidance & Cost Commentary
For the Heart stent placement procedure at Centura St. Catherine-Dodge City in Dodge City, KS, the negotiated rates across seven payers range from $12,930 to $23,069, with a median negotiated amount of $12,930. This figure aligns precisely with the Medicare benchmark of $12,807.10, indicating a markup of 1.0x, which suggests the facility is pricing at the federal cost baseline rather than applying a commercial markup. While the facility is a Proprietary Acute Care Hospital, patients should be aware that cash-pay options are not listed in this report; however, it is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, as these upfront incentives can sometimes result in lower out-of-pocket costs than the standard insurance negotiated rates, particularly for those with high-deductible plans.
The facility's pricing structure reflects standard commercial dynamics where negotiated rates serve as a contractual ceiling to protect in-network members, though these rates often incorporate administrative costs that can inflate the baseline price by 20% to 40%. Since the data provided does not include specific county or state average comparisons for this specific DRG, patients should rely on the Medicare benchmark as the most reliable objective baseline for evaluating the "true cost" of this service. To ensure transparency and avoid unexpected charges, consumers are encouraged to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can significantly alter the final amount owed.