Heart stent placement (inpatient stay)
Facility: Kansas Heart Hospital
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $11,584
- Cash Discount Price: $27,422
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Wppa - All Plans | $6,335 | 49% |
| Celtic Mcaid - All Other Plans | $9,138 | 71% |
| Medicaid / KanCare | $9,138 - $11,584 | 71% |
| Blue Cross Blue Shield | $9,138 - $11,743 | 71% |
| UnitedHealthcare | $9,138 - $12,597 | 71% |
| Soonerselect Mcaid - All Plans | $9,138 | 71% |
| Tricare | $10,426 | 81% |
| Aetna | $11,295 - $11,584 | 88% |
| Humana | $11,584 | 90% |
| Celtic Mcr Adv | $11,584 | 90% |
| Multiplan - All Plans | $38,798 | 303% |
Consumer Guidance & Cost Commentary
For a heart stent placement procedure at Kansas Heart Hospital in Wichita, the facility's cash median rate of $27,422 is significantly lower than the state average of $38,798, offering a substantial savings opportunity for self-pay patients. While the hospital's negotiated rates with major payers like UnitedHealthcare and Aetna range from $9,138 to $12,597, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans should consider paying the cash rate directly, as it bypasses the higher commercial negotiated fees and avoids potential balance billing if their insurance does not cover the full amount. It is crucial to verify "self-pay" or "prompt-pay" discounts with the billing department before scheduling, as these upfront payment incentives can further reduce the final cost.
The facility's pricing is benchmarked against Medicare, which sets a baseline rate of $12,807.10 for this service; the hospital's cash rate represents a 112% markup over this federal standard, aligning with fair pricing expectations rather than the typical 200% to 300% markups seen in commercial billing. To ensure you are receiving the most accurate and transparent pricing, request a detailed itemized bill that breaks down every charge by specific code, rather than accepting a summary invoice that may obscure unbundled services or non-rendered items. If you encounter discrepancies or believe you are being overcharged, submit a formal written audit dispute to the billing supervisor to resolve errors such as double-billing or incorrect coding before finalizing payment.