Heart stent placement (inpatient stay)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $14,274
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.11x 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 |
|---|---|---|
| Medica | $10,639 - $10,731 | 83% |
| Aetna | $12,420 - $18,538 | 97% |
| UnitedHealthcare | $21,783 | 170% |
| Humana | $25,665 | 200% |
Consumer Guidance & Cost Commentary
For the procedure of heart stent placement at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates range from $10,639 to $25,665 depending on the insurance carrier, with UnitedHealthcare and Humana showing a single fixed rate of $21,783 and $25,665 respectively. These commercial rates are significantly higher than the Medicare benchmark of $12,807.10, which serves as the objective baseline for fair pricing. While the facility's negotiated average of $14,274.00 is higher than the Medicare rate, patients should be aware that cash-pay options may offer lower costs if their insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can provide immediate financial relief by bypassing the administrative overhead associated with insurance billing.
The facility is located in Wichita, Kansas, and operates as a voluntary non-profit acute care hospital. While specific cash and median paid values are not available in the current data, the presence of multiple payers indicates a standard in-network environment where balance billing is generally prohibited for emergency and non-emergency services under the No Surprises Act. Patients should avoid accepting summary bills as final invoices and instead request a detailed, itemized statement to ensure no unbundled codes or services not rendered are included. If any unexpected charges arise, consumers should dispute the bill in writing rather than paying immediately, as this protects against potential errors and ensures compliance with federal protections against surprise billing.