CMS Price Transparency Data
Heart stent placement (inpatient stay)
Facility: Anaheim Global Medical Center
Billing Code: 322 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 322
- Insurance Median: $21,463
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Anaheim Global Medical Center is $21,463. 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 1.68x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$21,463
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: $21,463 (168%)
Ins. Median: $21,463 (168% 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 |
|---|---|---|
| Primecare Medical Network Inc | $1,800 | 14% |
| Healthcare Partners Hmo | $2,375 | 19% |
| Health Net | $2,700 - $44,729 | 21% |
| Altamed Health Services | $2,800 - $3,548 | 22% |
| Heritage Provider Network | $3,189 - $21,463 | 25% |
| Altamed | $3,548 - $21,463 | 28% |
| Monarch Health Plan | $3,604 | 28% |
| Cigna | $8,462 | 66% |
| Prime Health Services | $14,947 - $24,683 | 117% |
| Humana | $16,312 | 127% |
| Victim Of Violent Crime | $17,171 | 134% |
| Victim Of Violent Crime (Mep) | $17,171 | 134% |
| Health Net Inc | $20,294 - $53,422 | 158% |
| Onecare | $20,819 | 163% |
| Aetna | $21,463 | 168% |
| Astiva | $21,463 | 168% |
| Blue Shield Of California | $21,463 - $43,356 | 168% |
| California Health Plan | $21,463 | 168% |
| Caloptima | $21,463 | 168% |
| Central Health Plan Of California Inc | $21,463 | 168% |
| Choice Physicians Network | $21,463 | 168% |
| Citizens Choice | $21,463 | 168% |
| Clever Care Health Plan | $21,463 | 168% |
| Easy Choice | $21,463 | 168% |
| For Your Benefit | $21,463 | 168% |
| Healthcare Partners Sr Hmo | $21,463 | 168% |
| Hollywood Presbyerian | $21,463 | 168% |
| Imperial Health Plan Of Ca | $21,463 | 168% |
| Innovative Integrated Health | $21,463 | 168% |
| Kaiser | $21,463 | 168% |
| Medcare Partners Health Plan | $21,463 | 168% |
| Medicare (plans) | $21,463 | 168% |
| Monarch | $21,463 | 168% |
| Other Sr Non Contract | $21,463 | 168% |
| Physicians For Healthy Hospitals | $21,463 | 168% |
| Prospect Health Plan | $21,463 - $32,195 | 168% |
| Scan | $21,463 | 168% |
| Self Pay/Ab774/Cbo Use Only | $21,463 | 168% |
| St Joseph Hospital Sr | $21,463 | 168% |
| UnitedHealthcare | $21,463 - $27,833 | 168% |
| Us Dept Of Labor | $21,463 | 168% |
| Us Federal Marshall/Department Of Immigration | $21,463 | 168% |
| Velocity National Provider Network Sr | $21,463 | 168% |
| Verda Health Plan | $21,463 | 168% |
| Veterans Administration | $21,463 | 168% |
| Victoria Hospice | $21,463 | 168% |
| Brand New Day | $22,751 - $26,829 | 178% |
| Champion Health Plan | $23,180 | 181% |
| Naphcare | $25,283 | 197% |
| County Of Orange | $26,829 | 209% |
| Coventry Health | $28,713 - $29,829 | 224% |
| Interplan | $29,032 | 227% |
| Multiplan | $31,265 | 244% |
| Three Rivers Network | $31,265 - $37,561 | 244% |
| State Of California | $31,903 | 249% |
| Velocity National Provider Network Wc | $31,903 | 249% |
| Velocity National Provider Network Ppo | $37,561 | 293% |