CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Menifee Global Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,795
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Menifee Global Medical Center is $17,795. 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 1.39x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,795

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: $17,795 (139%)
Ins. Median: $17,795 (139% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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
Sr Capitation $2,200 17%
Primecare Commercial $3,010 24%
Altamed Health Services Senior $3,548 28%
Altamed Sr/Pace $3,548 28%
Hpn Commercial/Covered Ca $3,641 28%
UnitedHealthcare $4,223 - $17,795 33%
Cigna $6,500 51%
Humana $16,374 128%
Ava Hospice $17,584 137%
Living Waters Hospice $17,584 137%
Molina Covered Ca $17,584 137%
Pacific Valley Hospice $17,584 137%
Silverado Hospice $17,584 137%
Tricare $17,584 137%
Vna Hospice $17,584 137%
Aetna $17,795 - $21,251 139%
Blue Shield Senior $17,795 139%
Central Health Plan Senior $17,795 139%
Clever Care Health Plan Sr $17,795 139%
For Your Benefit Senior $17,795 139%
Guidant Health Plan Senior $17,795 139%
Health Net Senior $17,795 139%
Hpn Senior $17,795 139%
Imperial Health Plan Of Ca $17,795 139%
Kaiser Senior $17,795 139%
Managed Health Network Sr $17,795 139%
Medicare (plans) $17,795 139%
Neighborhood Healthcare Pace $17,795 139%
Point Comfort Underwriters $17,795 139%
Primecare Senior $17,795 139%
Prospect Health Plan Sr Hmo $17,795 139%
Scan Senior $17,795 139%
Self Pay/Ab774/Charity Discount $17,795 139%
Veterans Administration $17,795 139%
Ic $19,631 153%
Align Senior Care $19,931 156%
Welbehealth Sr/Pace $19,931 156%
Prime Health Services Senior $20,465 160%
Iehp Covered Ca $22,244 174%
Blue Shield Epn $23,846 186%
Coventry $23,885 - $24,814 186%
Prospect Health Plan Comm Hmo $24,024 188%
Health Net Enhanced Ppo $24,913 195%
Health Net Comm $27,583 215%
Prime Health Services Wcomp $29,240 228%
Blue Shield Commercial $29,896 233%
Three Rivers Network $31,142 243%
Velocity $31,142 243%
Three Rivers Wcomp $31,840 249%
Workers Comp Non-Contracted $32,489 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals