CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,113
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Munson Healthcare Grayling Hospital is $15,113. 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 1.18x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,113

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: $15,113 (118%)
Ins. Median: $15,113 (118% 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.

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
Aetna $15,113 118%
Atrium King Centre Skilled Nursing Services $15,113 118%
Blue Care Network $15,113 118%
Hap (Health Alliance Plan) $15,113 118%
Humana $15,113 118%
Mclaren Health Plan $15,113 118%
Medicare (plans) $15,113 118%
Michigan Amish Medical Board $15,113 118%
Northern Michigan Mennonite Group $15,113 118%
Priority Health $15,113 - $21,274 118%
UnitedHealthcare $15,113 118%
Wellcare (Meridian) $15,113 118%
Wellspring Lutheran Services Skilling Nursing Services $15,113 118%
Molina $16,322 127%
Cigna $21,274 166%
Employee Benefits Logistics $25,692 201%
Blue Cross Blue Shield $38,461 300%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals