Heart stent placement (inpatient stay)
Facility: Labette Health
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $16,240
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Uhccp | $8,280 | 65% |
| Medicaid / KanCare | $8,363 - $16,240 | 65% |
| Healthy Blue | $8,446 | 66% |
| UnitedHealthcare | $16,240 | 127% |
| Wellcare | $16,240 | 127% |
| Blue Cross Blue Shield | $16,240 - $19,623 | 127% |
| Humana | $16,240 | 127% |
| Kansas Superior Select | $16,727 | 131% |
| Ambetter / Centene | $18,676 | 146% |
| Montgomery County | $19,406 | 152% |
Consumer Guidance & Cost Commentary
For this heart stent placement procedure at Labette Health in Parsons, KS, the negotiated rates for in-network insurance plans range from $8,280 to $19,623, with a median negotiated amount of $16,240. This commercial rate is 1.3 times higher than the Medicare benchmark of $12,807.10, reflecting the administrative costs and contract structures inherent in insurance billing. While the facility is a government-owned acute care hospital, patients should be aware that cash-pay options may offer significant savings if their insurance negotiated rate exceeds the cash price. It is important to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can reduce the total cost by bypassing the standard insurance billing cycle.
Patients should avoid relying on summary bills or assuming that being in-network guarantees the lowest possible price, as negotiated rates vary significantly across different payers. If you receive a bill that includes charges for services not rendered, unbundled codes, or out-of-network ancillary services, you should request a full itemized audit to identify errors before paying. Additionally, under the No Surprises Act, you are protected from balance billing for emergency or non-emergency services provided by out-of-network providers at in-network facilities, so you should dispute any surprise bills and request a formal audit rather than paying immediately out of fear. Always confirm your deductible status and ask for a written waiver of insurance submission if you intend to pay cash to secure the best possible rate.