Heart stent placement (inpatient stay)
Facility: Select Specialty Hospital - Kansas City
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $1,700
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.13x 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 |
|---|---|---|
| Aetna | $1,615 - $1,880 | 13% |
| Cigna | $1,682 | 13% |
| Phcs-Multiplan | $1,700 | 13% |
| Wppa | $1,801 | 14% |
| UnitedHealthcare | $1,836 | 14% |
| Healthcare Highways | $1,957 | 15% |
| Sidecare Health Insurance Solutions | $2,000 | 16% |
Consumer Guidance & Cost Commentary
For the procedure "Heart stent placement (in-network stay)" at Select Specialty Hospital - Kansas City, the facility's negotiated rates range from $1,615 to $2,000 depending on the insurance carrier. These commercial rates are significantly higher than the Medicare benchmark of $12,807.10, which serves as the objective baseline for fair pricing. While commercial contracts often cap payments to protect members, the negotiated amounts here reflect the administrative costs and contract dynamics inherent in the insurance system. Patients should be aware that cash-pay options may offer a lower total cost if their insurance negotiated rate exceeds the cash price, though specific cash rates are not available for this code. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment.
When reviewing your final statement, ensure you receive a detailed itemized bill rather than a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If you receive a balance bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services. Do not sign away your rights to dispute these bills via consent waivers, and always request a formal written audit dispute if you believe charges are incorrect. Comparing your specific allowed amount to the state average provides context, but the most critical step is verifying your deductible status before scheduling to avoid unexpected out-of-pocket expenses.