CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: University of Michigan Health - West

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $21,282
Cash Discount Price: $139,027
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at University of Michigan Health - West is $21,282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139,027. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.66x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$139,027

Average discount available for prompt cash payment at this facility.

Insurance Median

$21,282

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%)

Cash / Self-Pay: $139,027 (1086%)

Insurance Median: $21,282 (166%)

Cash: $139,027 (1086% of Medicare)

Ins. Median: $21,282 (166% 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
Care Resources	$10,561	82%
Aetna	$11,734 - $23,800	92%
Humana	$11,734 - $12,103	92%
Medicare (plans)	$11,734	92%
Molina Marketplace Commercial	$11,734	92%
Insight Metro Care	$16,898	132%
Golden Rule Ins	$20,941	164%
Medica	$20,941	164%
Student Ins/Mega Life	$20,941	164%
UnitedHealthcare	$20,941	164%
Apwu	$21,282	166%
Cigna	$21,282	166%
Health Partners	$21,282	166%
Priority Health	$21,282	166%
Web Tpa	$21,282	166%
Bcn	$38,928	304%
Blue Cross Blue Shield	$38,928	304%
Alliance Health & Life Ppo	$232,870	1818%
Asr Physicians	$232,870	1818%
Hap	$232,870	1818%
Asr Cofinity	$290,219	2266%
Cofinity Commercial	$290,219	2266%
Cofinity Weyco	$290,219	2266%
Core Source	$290,219	2266%
Epoch Group	$290,219	2266%
Hlthcomp Admin	$290,219	2266%
Mid America	$290,219	2266%

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 $139,027.
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 - West 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.