Heart stent placement (inpatient stay)
Facility: Menorah Medical Center
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $13,752
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.07x 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 |
|---|---|---|
| Aetna | $1,308 - $33,978 | 10% |
| United | $1,981 - $54,949 | 15% |
| College Park Family Care Center | $2,022 | 16% |
| Blue Cross Blue Shield | $3,499 - $46,044 | 27% |
| Multiplan | $6,522 | 51% |
| Amerigroup | $9,138 | 71% |
| Healthyblue | $9,321 | 73% |
| Unicare | $9,503 | 74% |
| Medicaid / KanCare | $11,572 | 90% |
| Humana | $12,457 - $15,444 | 97% |
| Coventry | $13,411 | 105% |
| Wellcare | $13,888 | 108% |
| Devoted Health | $13,888 | 108% |
| Celtic | $13,888 | 108% |
| Nhc Advantage | $14,024 | 110% |
| Cigna | $14,160 - $39,258 | 111% |
| Pyramid Life | $14,977 | 117% |
| Universal Healthcare | $15,522 | 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 Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $1,308 to $27,150 across 21 different payers, with a median negotiated amount of $13,752. This median rate is slightly higher than the facility's Medicare benchmark of $12,807.10, reflecting a markup ratio of 1.1x, which aligns with the typical range of 120% to 150% considered fair for commercial pricing. While the lowest negotiated rate of $1,308 from Aetna is significantly lower than the highest rate of $27,150 from Wppa Providers Care Network, patients should note that cash-pay options are not listed in this report. In cases where a patient's insurance deductible has not been met or their plan has a high deductible, paying the cash price directly can sometimes be cheaper than the insurance negotiated rate, provided the facility offers a self-pay discount.
To minimize unexpected costs, consumers should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling any services, as these upfront fee reductions can bypass the administrative overhead and delayed reimbursement cycles associated with insurance claims. If a patient receives a bill that appears to include charges for services not rendered or unbundled components of the procedure, they should request a formal, itemized billing audit rather than accepting a summary invoice. This audit process is critical because over 80% of hospital bills contain errors, and disputing these in writing with the billing supervisor is the most effective way to reduce medical debt. Additionally, under federal