CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Dupont Hospital LLC

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 Dupont Hospital LLC 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 2520 E Dupont Rd, 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amish Aid	$7,913	62%
Lutheran Network	$9,671	76%
Lutheran Preferred	$10,181 - $29,726	79%
UnitedHealthcare	$13,140 - $20,645	103%
Aetna	$14,600	114%
Blue Cross Blue Shield	$14,600 - $23,780	114%
Humana	$14,600	114%
Medicare (plans)	$14,600	114%
Node Mhs Mcr Adv	$14,600	114%
Iu Health	$14,863	116%
Node Devoted Health Mcr Adv	$14,892	116%
Node Va	$15,160	118%
In Dept Of Correction	$15,457	121%
Node Pphp Mcr Adv	$15,606	122%
Encore Ppo	$17,584	137%
Php Freedom Network	$17,584	137%
Physicians Health Plan	$17,584 - $19,523	137%
Managed Health Services	$19,790 - $29,726	155%
Us Department Of Labor	$21,493	168%
Lutheran Advanced Network	$22,294	174%
Lutheran Preferred Fixed 2	$22,294	174%
Sagamore	$22,566 - $26,445	176%
Encore Work Comp In	$26,753	209%
Prime Health Services	$26,753	209%
In Work Comp	$29,726	232%
Encore Kba Epo	$35,671	279%
Encore Kba Ppo	$44,588	348%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dupont Hospital LLC is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.