Heart stent placement (inpatient stay)
Facility: Overland Park Reg Med Ctr
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $14,097
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.10x 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 |
|---|---|---|
| United | $1,981 - $54,949 | 15% |
| College Park Family Care Center | $2,022 | 16% |
| Blue Cross Blue Shield | $3,692 - $46,044 | 29% |
| Multiplan | $6,522 | 51% |
| Amerigroup | $9,138 | 71% |
| Healthyblue | $9,321 | 73% |
| Aetna | $9,503 - $33,978 | 74% |
| Unicare | $9,503 | 74% |
| Medicaid / KanCare | $11,572 | 90% |
| Humana | $12,457 - $15,444 | 97% |
| Coventry | $13,748 | 107% |
| Wellcare | $14,237 | 111% |
| Devoted Health | $14,237 | 111% |
| Celtic | $14,237 | 111% |
| Nhc Advantage | $14,376 | 112% |
| Cigna | $14,516 - $39,258 | 113% |
| Pyramid Life | $15,353 | 120% |
| Universal Healthcare | $15,493 | 121% |
| Oscar | $19,181 | 150% |
| Ambetter / Centene | $19,922 | 156% |
| Wppa Providrs Care Network | $27,150 | 212% |
Consumer Guidance & Cost Commentary
For the Heart stent placement procedure at Overland Park Reg Med Ctr, the median negotiated rate is $42,208.00, which is 10% higher than the Medicare benchmark of $12,807.10. This facility, located in Overland Park, KS, has a facility rating of 4 and operates as a Proprietary Acute Care Hospital. While the data shows a wide range of negotiated rates across 21 payers—spanning from $1,981 at United to $27,150 at Wppa Providrs Care Network—the median negotiated amount of $14,097.00 represents the average amount commercial insurers pay for this service. Patients should be aware that while in-network insurance provides a ceiling on charges, the actual amount paid can vary significantly based on individual plan deductibles and specific contract terms.
Because cash-pay rates are not listed in this report, patients with high-deductible plans may find that paying out-of-pocket directly is more cost-effective than relying on insurance, especially if the insurer's negotiated rate exceeds the facility's self-pay price. It is crucial to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront. Additionally, if a patient receives a bill from an out-of-network provider at this in-network facility, they may be subject to balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against such surprise bills for emergency and non-emergency services. Consumers should always request a full itemized