Heart stent placement (inpatient stay)
Facility: Scott County Hospital
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $4,349
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.34x 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 |
|---|---|---|
| UnitedHealthcare | $7,498 | 59% |
Consumer Guidance & Cost Commentary
For the procedure "Heart stent placement (inpatient stay)" at Scott County Hospital in Scott City, KS, the facility's negotiated rate is $4,349.00, which is significantly lower than the state average of $12,807.10 (Medicare amount). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash payments can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. Although cash and median paid values are not listed for this specific code, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront.
When reviewing your final invoice, ensure you are comparing rates against the Medicare benchmark rather than the hospital's inflated chargemaster list, as commercial rates often include administrative markups that do not reflect the true cost of care. If you receive a balance bill for services rendered at this in-network facility, you may be protected under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and your insurance allowed amount for emergency or non-emergency services. To avoid unexpected charges, request a detailed, itemized bill before paying; over 80% of hospital bills contain errors such as unbundled codes or services not rendered, and disputing these in writing can significantly reduce your medical debt.