CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $13,399
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Wyandotte Hospital and Medical Center is $13,399. 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 1.05x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13,399

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: $13,399 (105%)
Ins. Median: $13,399 (105% 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
Pace Of Se Mi $12,729 99%
Amerihealth Michigan $13,131 103%
Aetna $13,399 - $22,838 105%
Bcn $13,399 105%
Blue Cross Blue Shield $13,399 - $44,642 105%
Cca Health Michigan $13,399 105%
Erickson $13,399 105%
Hap $13,399 - $26,704 105%
Hap Caresource $13,399 105%
Mclaren Health $13,399 105%
Molina Mi Health Link $13,399 105%
Mount Carmel Health Plan $13,399 105%
Priority Health $13,399 - $23,389 105%
UnitedHealthcare $13,399 - $21,307 105%
Wellcare $13,399 105%
Humana $13,667 - $20,042 107%
Meridian Health Plan Of Mi $18,088 141%
Molina $18,088 141%
Vitalcore Physicians Group Of Mi $24,787 194%
Cofinity Group Health $25,680 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals