CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: University of Michigan Health System

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,829
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at University of Michigan Health System is $18,829. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.47x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,829

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)

Insurance Median: $18,829 (147%)

Ins. Median: $18,829 (147% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Huron Valley Pace	$17,888	140%
Amerihealth Michigan Inc	$18,453	144%
Aetna	$18,829 - $19,206	147%
Blue Care Network Of Michigan	$18,829 - $36,682	147%
Blue Cross Blue Shield	$18,829 - $36,682	147%
Humana	$18,829	147%
Medigold Trinity Health Plan Of Michigan	$18,829	147%
Meridian Health Plan Of Michigan Inc	$18,829	147%
Paramount Elite-Ohio	$18,829	147%
Paramount Health Care	$18,829	147%
Priority Health	$18,829	147%
Thome Pace	$18,829	147%
Triwest	$18,829	147%
UnitedHealthcare	$18,829 - $19,206	147%
Veteran Affairs Community Care Program	$18,829	147%
Mclaren Health Plan Inc	$19,018	148%
Health Alliance Plan	$19,112	149%
Medicare (plans)	$19,112	149%
Molina Healthcare Of Michigan Inc	$19,206	150%
Zing Health	$19,771	154%
Employee Benefit Logistic	$32,010	250%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Michigan Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.