Heart stent placement (inpatient stay)
Facility: Kingman Healthcare Center
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $3,520
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.27x 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 |
|---|---|---|
| Wellcare | $3,200 | 25% |
| Celtic Insurance Company | $3,200 - $3,520 | 25% |
| UnitedHealthcare | $3,200 | 25% |
| Medicaid / KanCare | $3,200 - $8,280 | 25% |
| Humana | $3,200 | 25% |
| Ambetter / Centene | $3,520 | 27% |
| Healthy Blue | $8,280 | 65% |
| Blue Cross Blue Shield | $19,623 | 153% |
Consumer Guidance & Cost Commentary
For the procedure of heart stent placement at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rates range from $3,200 to $8,280 depending on the insurance plan, with a median negotiated amount of $3,520. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. While the data does not provide specific county or state average figures for comparison, it is important to note that commercial negotiated rates often include administrative overhead and can exceed the true cost of care. Patients should be aware that cash-pay options are not listed in this report, but asking for a self-pay or prompt-pay discount before scheduling can sometimes result in significant savings, as hospitals may offer reduced fees for upfront payment to bypass costly insurance billing cycles.
The Medicare benchmark for this service is $12,807.10, which serves as a scientifically validated baseline for the true cost of delivery. Although the data indicates a 30% variance versus Medicare, the actual commercial rates paid by insurers are generally lower than the Medicare amount for this specific facility. Patients should avoid using the hospital's full chargemaster list as a benchmark, as these inflated prices do not reflect actual costs. Instead, consumers should request an itemized billing audit if they receive a summary bill, ensuring they are not charged for unbundled services or items not rendered. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and they should dispute any unexpected bills in writing rather than accepting summary invoices or signing away their rights via consent waivers.