CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $22,938
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Munson Healthcare Manistee Hospital is $22,938. 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 1.79x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$22,938

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: $22,938 (179%)
Ins. Median: $22,938 (179% 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
Cigna $21,274 166%
Priority Health $21,274 - $22,938 166%
Aetna $22,938 179%
Hap (Health Alliance Plan) $22,938 179%
Humana $22,938 179%
Mclaren Health Plan $22,938 179%
Medicare (plans) $22,938 179%
Michigan Amish Medical Board $22,938 179%
Northern Michigan Mennonite Group $22,938 179%
Prime Health Services $22,938 179%
UnitedHealthcare $22,938 179%
Wellcare Meridian $22,938 179%
Molina $24,772 193%
Employee Benefits Logistics $38,994 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals