Heart stent placement (inpatient stay)
Facility: Saint John Hospital
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $11,750
- Cash Discount Price: $11,749
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $8,376 - $16,450 | 65% |
| Medicaid / KanCare | $8,376 | 65% |
| Celtic | $8,543 - $15,862 | 67% |
| Healthy Blue | $8,543 - $12,337 | 67% |
| Cigna | $11,750 | 92% |
| Midland Care Connection | $11,750 | 92% |
| Medicare (plans) | $11,750 | 92% |
| Tricare | $11,750 - $20,865 | 92% |
| Aetna | $11,750 - $18,180 | 92% |
| Kansas Superior Select | $11,985 | 94% |
| Employer Direct Healthcare | $15,275 | 119% |
| Well Path | $16,450 | 128% |
| Corizon | $16,450 | 128% |
| Centurion | $17,625 | 138% |
| Naphcare | $18,212 | 142% |
Consumer Guidance & Cost Commentary
For the Heart stent placement procedure at Saint John Hospital in Leavenworth, KS, the cash price is $11,749, which is slightly lower than the facility's negotiated rates with major payers like UnitedHealthcare and Celtic. While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find paying cash upfront more cost-effective if their insurance negotiated rate exceeds the cash price. It is important to note that the facility's cash rate is significantly lower than the Medicare benchmark of $12,807, suggesting that the cash price aligns closely with the true cost of care rather than the inflated chargemaster lists often used for comparison.
To ensure you are not overcharged, always request a full itemized bill before finalizing payment, as summary invoices can obscure individual line items and potential errors. If you receive a balance bill for out-of-network services, remember that the No Surprises Act generally protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital directly about prompt-pay discounts, which can reduce the total cost by 20% to 50% if you settle the bill in full within a short window, bypassing the costly claims processing cycle that insurance billing requires.