Heart stent placement (inpatient stay)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $9,858
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.77x 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 |
|---|---|---|
| Healthy Blue Kansas | $9,858 | 77% |
| Medicaid / KanCare | $9,858 | 77% |
| Aetna | $9,858 | 77% |
| United | $9,858 | 77% |
Consumer Guidance & Cost Commentary
For the procedure code 322, "Heart stent placement (inpatient stay)," the Rehabilitation Hospital Of Overland Park in Overland Park, KS, has a standardized negotiated rate of $9,858 across all four payers, including Healthy Blue Kansas, Medicaid/KanCare, Aetna, and United. This rate is significantly lower than the Medicare benchmark of $12,807.10, reflecting a 20% reduction compared to the federal baseline. While the data does not provide specific cash or median paid figures for this service, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payment.
This facility operates as a Part A provider and does not appear to have a publicly listed cash median or negotiated average that differs from the uniform $9,858 rate seen across the four payers. Because the negotiated rate is already below the Medicare amount, patients with high-deductible plans may find that paying cash or utilizing a prompt-pay discount is more cost-effective than relying on insurance coverage, provided they have not yet met their deductible. To ensure you are receiving the most favorable pricing, always verify the specific allowed amount for your plan before scheduling and request a waiver of insurance submission if you intend to pay out-of-pocket. Finally, if you receive a bill, insist on an itemized statement to review every charge and avoid paying for services that were not rendered or codes that were incorrectly unbundled.