CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Parkview Regional Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,193
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Parkview Regional Medical Center is $15,193. 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 1.19x the Medicare baseline. Located in 11109 Parkview Plaza Drive, Fort Wayne, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,193

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: $15,193 (119%)
Ins. Median: $15,193 (119% 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
Aetna $15,193 - $24,682 119%
Blue Cross Blue Shield $15,193 - $47,033 119%
Buckeye Health Plan $15,193 119%
Humana $15,193 119%
Paramount $15,193 119%
Plain Church $15,193 119%
UnitedHealthcare $15,193 - $37,358 119%
American Health Plan Of Indiana $15,953 125%
Caresource $15,953 125%
Signature Care $22,704 - $24,264 177%
Managed Health Services $22,790 178%
Encore $29,971 234%
Physicians Health Plan $33,929 265%
Partners Direct Health $37,226 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11109 Parkview Plaza Drive, Fort Wayne, IN 46845
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals