CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Chapman Global Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,936
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Chapman Global Medical Center is $16,936. 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 1.32x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,936

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: $16,936 (132%)
Ins. Median: $16,936 (132% 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.

Input your details and click calculate to compare out-of-pocket costs.

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 Hmo $2,375 19%
Health Net $2,700 - $41,798 21%
Scan/Altamed $2,800 22%
Heritage Provider Network $3,189 - $16,936 25%
Altamed $3,548 - $16,936 28%
Altamed Health Services $3,548 28%
Monarch Health Plan $3,610 28%
Cigna $8,462 66%
Victim Of Violent Crime $13,549 106%
Prime Health Services $14,947 - $19,476 117%
Onecare $16,089 - $16,936 126%
Humana $16,140 126%
Aetna $16,936 132%
Apex Hospice $16,936 132%
Astiva $16,936 132%
Blue Shield Of California $16,936 - $44,880 132%
Caloptima $16,936 132%
Central Health Plan $16,936 132%
Choice Physicians Network $16,936 132%
Citizen Choice Health Plan $16,936 132%
Clever Care $16,936 132%
Easy Choice $16,936 132%
For Your Benefit $16,936 132%
Healthcare Partners Sr Hmo $16,936 132%
Hollywood Presbyterian $16,936 132%
Imperial Health Plan Of Ca $16,936 132%
Innovative Integrated Health $16,936 132%
Kaiser $16,936 132%
Medcare Partners Health Plan $16,936 132%
Medicare (plans) $16,936 132%
Monarch Sr $16,936 132%
Onecare/Connect $16,936 132%
Prospect Health Plan $16,936 - $25,404 132%
Scan Health Plan $16,936 132%
Self Pay $16,936 132%
St Joseph $16,936 132%
UnitedHealthcare $16,936 - $27,833 132%
Us Department Of Labor/Workers Comp $16,936 132%
Us Federal Marshall/Department Of Immigration $16,936 132%
Velocity National Provider Network Sr $16,936 132%
Verda Health Plan $16,936 132%
Veterans Administration $16,936 132%
Victoria Hospice $16,936 132%
Silverado Hospice $17,584 137%
Brand New Day $17,952 - $21,170 140%
Champion Health Plan $18,291 143%
County Of Orange $21,170 165%
Coventry Health $23,885 - $25,212 186%
Interplan $24,150 189%
Multiplan $26,008 203%
Three Rivers Wc $26,008 203%
Indemnity Workers Comp California Fee Schedule $26,539 207%
Velocity National Provider Network Wc $26,539 207%
Three Rivers Network $29,638 231%
Velocity National Provider Network Ppo $29,638 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 E Chapman Ave, Orange, CA 92869
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals