Heart stent placement (inpatient stay)
Facility: St. Catherine Hospital - Garden City
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $18,450
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.44x 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 | $13,129 - $42,106 | 103% |
| Innovage | $13,265 | 104% |
| Medicare (plans) | $13,265 - $18,450 | 104% |
| Kaiser | $13,265 - $20,529 | 104% |
| Devoted Health | $13,265 | 104% |
| Humana | $13,265 - $18,450 | 104% |
| Cigna | $13,265 - $18,450 | 104% |
| Aetna | $13,265 - $44,040 | 104% |
| Blue Cross Blue Shield | $13,265 - $30,140 | 104% |
| Direct To Employer | $15,049 - $24,406 | 118% |
| Kansas Health | $18,450 | 144% |
| Peak Health | $20,355 | 159% |
| United Colorado Doctor'S Plan | $27,223 | 213% |
Consumer Guidance & Cost Commentary
For the heart stent placement procedure at St. Catherine Hospital in Garden City, Kansas, the negotiated rates for in-network insurance plans range from $13,129 to $44,040, with a median negotiated amount of $18,450. This facility is a voluntary non-profit church-owned acute care hospital located in Garden City (ZIP 67846). While specific cash-pay or self-pay rates are not listed in this report, patients should note that cash prices can sometimes be lower than the insurance negotiated rates, particularly for those with high-deductible plans. It is advisable to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can significantly reduce out-of-pocket costs if paid upfront.
When evaluating the cost of this service, it is important to compare the facility's pricing against objective benchmarks rather than the hospital's inflated chargemaster list. The Medicare benchmark for this procedure is $12,807.10, and commercial negotiated rates typically average between 200% and 300% of this amount, though fair pricing is often defined as 120% to 150%. If the facility's negotiated rates exceed these benchmarks, patients may be paying a markup that exceeds standard industry norms. Additionally, consumers should be aware of balance billing protections; under the No Surprises Act, patients are generally protected from being billed for out-of-network services at in-network facilities, and they should avoid signing consent waivers that might waive these rights for emergency or mandatory ancillary services.