Heart stent placement (inpatient stay)
Facility: Select Specialty Hospital - Wichita
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $1,700
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.13x 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 | $1,615 - $1,880 | 13% |
| Cigna | $1,682 | 13% |
| Phcs-Multiplan | $1,700 | 13% |
| UnitedHealthcare | $1,836 | 14% |
| Healthcare Highways | $1,957 | 15% |
| Sidecare Health Insurance Solutions | $2,000 | 16% |
| Wppa | $2,308 | 18% |
Consumer Guidance & Cost Commentary
For the procedure of heart stent placement (inpatient stay) at Select Specialty Hospital - Wichita, the facility's negotiated rates range from $1,615 to $2,308 depending on the specific insurance plan. These commercial rates are significantly lower than the Medicare benchmark of $12,807.10, reflecting the standard industry practice where in-network contracts cap costs well below federal reimbursement levels. While the data does not provide a specific cash or median paid amount, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is highly recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payments.
This facility is located in Wichita, Kansas (ZIP 67214), and serves as a Part A Provider - Hospital. The provided data does not include state or county average comparisons for this specific procedure, so patients cannot determine how this facility's pricing compares to regional norms based on the available information. Regardless of the lack of comparative averages, the wide variation in negotiated rates across different payers—from $1,615 for Aetna to $2,308 for WPPA—highlights the importance of verifying your specific plan's allowed amount before scheduling. To avoid unexpected charges, patients should request a full itemized bill prior to payment and ensure that any "waiver of insurance submission" forms are reviewed carefully to prevent automatic claims processing that could void potential cash discounts.