CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Olean General Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $16,966
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Olean General Hospital is $16,966. 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 1.32x the Medicare baseline. Located in 515 Main Street, Olean, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,966

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: $16,966 (132%)
Ins. Median: $16,966 (132% 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.

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Emblem Health $7,008 55%
Highmark - Bradford $11,630 91%
Independent Health Association $12,668 - $13,100 99%
Cigna $12,798 100%
UnitedHealthcare $16,300 - $22,093 127%
Blue Cross Blue Shield $16,457 - $25,648 128%
Univera $16,626 130%
Aetna $16,966 - $17,984 132%
Healthpartners $16,966 132%
Humana $16,966 132%
Mvp $16,966 132%
Nalc $16,966 132%
Pa Health And Wellness $16,966 132%
Seneca Nation-Lion John Hc $16,966 132%
Total Senior Care $16,966 132%
Upmc $17,305 - $17,711 135%
Fidelis $17,814 139%
Geisinger $17,814 139%
Wellcare $17,814 139%
Fidelis Care $22,055 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 Main Street, Olean, NY 14760
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals