CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lutheran Hospital of Indiana

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $17,584
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Lutheran Hospital of Indiana is $17,584. 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 1.37x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,584

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: $17,584 (137%)
Ins. Median: $17,584 (137% 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
Ky Work Comp $4,431 35%
Amish Aid $6,330 49%
Lutheran Preferred $10,181 79%
UnitedHealthcare $12,532 - $20,645 98%
Lutheran Preferred Network $12,694 99%
Aetna $13,924 109%
Blue Cross Blue Shield $13,924 - $23,283 109%
Humana $13,924 109%
Iu Health Plan $13,924 109%
Managed Health Services $13,924 - $29,103 109%
Medicare (plans) $13,924 - $14,295 109%
Node Devoted Health Mcr Adv $14,202 111%
Node Va $14,552 114%
In Dept Of Correction $14,740 115%
Node Pphp Mcr Adv $14,882 116%
Lutheran Network $16,705 - $29,103 130%
Encore Ppo $17,584 137%
Php Freedom Network $17,584 137%
Physicians Health Plan Of Northern Indiana $17,584 - $19,523 137%
Us Department Of Labor $21,078 165%
Lutheran Advanced Network $21,827 170%
Node Lutheran Network $21,827 - $25,465 170%
Node Lutheran Preferred Fixed 2 $21,827 170%
Sagamore $22,566 - $26,445 176%
Encore Work Comp In $25,512 199%
Prime Health Services $26,193 205%
Node Encore Kba Epo $34,924 273%
Node Encore Kba Ppo $43,655 341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals