Heart stent placement (inpatient stay)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $14,274
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.11x 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 |
|---|---|---|
| Blue Cross Blue Shield | $1,342 | 10% |
| Medica | $10,731 | 84% |
| Aetna | $12,420 - $18,538 | 97% |
| UnitedHealthcare | $21,783 - $22,150 | 170% |
| Humana | $25,665 | 200% |
Consumer Guidance & Cost Commentary
For the procedure "Heart stent placement (inpatient stay)" at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates vary significantly by insurer, ranging from $1,342 with Blue Cross Blue Shield to $25,665 with Humana. While the median negotiated amount across all payers is $14,274, this figure is notably higher than the Medicare benchmark of $12,807.10, indicating a markup of 110% above the federal baseline. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans or those without insurance may find paying the cash price directly more cost-effective than relying on insurance reimbursement.
To minimize potential costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the standard insurance billing cycle and administrative markups. Additionally, because over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement rather than accepting a summary invoice, which may obscure unbundled charges or services not rendered. If a balance bill arises from an out-of-network provider or ancillary service, patients are protected under the No Surprises Act and should dispute the amount in writing rather than paying immediately to avoid unexpected debt.