CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $18,685
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at AHMC Anaheim Regional Medical Center is $18,685. 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 1.46x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$18,685
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: $18,685 (146%)
Ins. Median: $18,685 (146% 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 |
|---|---|---|
| Healthcare Partners | $1,379 - $18,685 | 11% |
| Altamed Health Network | $1,387 - $18,685 | 11% |
| Private Healthcare Systems | $1,489 | 12% |
| Care First | $1,500 - $18,685 | 12% |
| Health Net Inc | $1,503 - $43,048 | 12% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $1,503 | 12% |
| Caloptima | $1,750 - $18,685 | 14% |
| First Health | $1,840 - $30,587 | 14% |
| Ahmc Reciprocity Agreement | $1,937 - $10,855 | 15% |
| Choicecare | $1,975 | 15% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $2,391 | 19% |
| Private Pay Flat Rate | $2,500 | 20% |
| One Legacy | $3,000 | 23% |
| Medical Acquisition Company | $4,000 | 31% |
| Alta Los Angeles Hospital | $4,307 | 34% |
| Prospect Health Plan | $4,307 - $25,692 | 34% |
| Ahmc Health Self-Insurance Epo | $4,365 | 34% |
| Aetna | $4,478 - $18,685 | 35% |
| Blue Cross Blue Shield | $5,706 - $18,685 | 45% |
| Blue Shield Of California | $5,835 - $18,685 | 46% |
| UnitedHealthcare | $6,908 - $15,195 | 54% |
| Cigna | $11,650 - $31,533 | 91% |
| Veterans Administration | $13,322 | 104% |
| Monarch Health Plan | $17,751 - $18,685 | 139% |
| Humana | $18,311 | 143% |
| Aids Health Foundation | $18,685 | 146% |
| Alignment Health Plan | $18,685 | 146% |
| Apa Aco Inc | $18,685 | 146% |
| Avanti | $18,685 - $22,837 | 146% |
| Beverly Hospital | $18,685 - $20,934 | 146% |
| Brand New Day | $18,685 - $23,789 | 146% |
| California Health Plan | $18,685 | 146% |
| Central Health Of California | $18,685 | 146% |
| Davita Heatlhcare Partners Plan Inc | $18,685 | 146% |
| Healthnet | $18,685 | 146% |
| Heritage Provider Network | $18,685 - $25,692 | 146% |
| Kaiser Foundation Hospitals | $18,685 | 146% |
| Medicare (plans) | $18,685 - $19,806 | 146% |
| Pacificare | $18,685 | 146% |
| Scan Health Plan | $18,685 | 146% |
| Seoul Medical Group | $18,685 - $19,031 | 146% |
| Wellcare | $18,685 | 146% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $19,031 | 149% |
| Emanate Health | $19,031 - $23,789 | 149% |
| Innovative Integrated Health (Iih)/Orange County Pace | $19,031 | 149% |
| Self-Pay | $19,031 | 149% |
| Nchp | $19,619 | 153% |
| Align Senior Care | $19,806 | 155% |
| Knox-Keene Act | $23,789 | 186% |
| Angels Baseball Workers Comp | $26,803 | 209% |
| Orange County Preferred Provider Organization | $30,587 | 239% |
| Athens Administrators | $31,533 | 246% |
| Capp Care | $31,533 | 246% |
| Marriot Intl | $31,533 | 246% |
| Non Contracted Workers Comp | $31,533 | 246% |