Heart stent placement (inpatient stay)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $10,362
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x 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 |
|---|---|---|
| Humana | $10,159 - $25,665 | 79% |
| Via Christi Research | $10,159 | 79% |
| Saint Lukes Health Systems | $10,159 | 79% |
| Vc Hope | $10,159 | 79% |
| Va | $10,159 | 79% |
| Medicare (plans) | $10,159 - $10,362 | 79% |
| Blue Cross Blue Shield | $10,362 | 81% |
| UnitedHealthcare | $10,362 - $28,445 | 81% |
| Medica | $10,731 | 84% |
| Aetna | $12,420 - $18,538 | 97% |
| Corizon | $12,699 | 99% |
| Smarthealth | $14,223 | 111% |
| Medicaid / KanCare | $17,270 | 135% |
Consumer Guidance & Cost Commentary
For the procedure of heart stent placement at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates for in-network payers range from $10,159 to $28,445, with a median negotiated amount of $10,362. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas (ZIP 67235). While the data does not provide specific county or state average comparisons for this specific DRG, it is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can make them higher than cash prices. Patients with high-deductible plans or those who have met their out-of-pocket maximums should consider the cash price, as paying directly can sometimes result in lower total costs compared to the insurance negotiated rate, provided the facility offers a self-pay or prompt-pay discount.
To ensure you are not overcharged, it is recommended to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If you receive a balance bill for out-of-network services at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services from out-of-network providers at in-network hospitals. Always verify your specific plan's deductible status and ask the hospital to classify your account as "self-pay" prior to scheduling to secure any available prompt-pay discounts, which can range from 20% to 50% off the total bill.