Heart stent placement (inpatient stay)
Facility: Mercy Hospital of Buffalo
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $13,595
- Cash Discount Price: $48,286
- vs. Medicare Baseline: 1.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Beacon Essential [350122] | $11,137 - $11,248 | 87% |
| Beacon Health Options [100023] | $11,137 | 87% |
| Medicaid / KanCare | $11,137 - $14,139 | 87% |
| Beacon Health Options Alt [100024] | $11,137 | 87% |
| Independent Health Essential [100166] | $12,083 - $14,808 | 94% |
| Blue Cross Blue Shield | $12,083 - $38,388 | 94% |
| Amerigroup [350102] | $12,083 | 94% |
| UnitedHealthcare | $12,083 - $33,720 | 94% |
| Univera Healthcare Essential [100170] | $12,083 | 94% |
| Molina Essential [100167] | $12,083 | 94% |
| Fidelis Essential [100163] | $12,083 - $12,391 | 94% |
| Crime Victims [100176] | $12,391 | 97% |
| Excellus Rochester McD [350117] | $12,391 | 97% |
| Wellcare Fidelis Dual [450451] | $13,595 | 106% |
| Medicare (plans) | $13,595 | 106% |
| Cigna | $13,595 | 106% |
| Wellcare [450129] | $13,595 | 106% |
| Covid19 Hrsa [45013] | $13,595 | 106% |
| VA Veterans Affairs [700001] | $13,595 - $21,451 | 106% |
| Federal Workers Compensation [500100] | $13,595 | 106% |
| Aetna | $13,595 | 106% |
| Fidelis Dual Advantage [450120] | $13,595 | 106% |
| Catholic Health Life Pace [400005] | $13,595 | 106% |
| Seneca Nation [450119] | $13,595 | 106% |
| Humana | $13,595 | 106% |
| Fallon Health [450115] | $13,595 | 106% |
| No Fault [114001] | $17,487 | 137% |
| Fidelis Exchange [100164] | $17,894 | 140% |
| Mvp Healthcare [100168] | $18,292 | 143% |
| Tricare | $21,451 | 167% |
| Champ VA [700002] | $21,451 | 167% |
| Independent Health [100165] | $23,037 - $35,941 | 180% |
| Univera Healthcare [100169] | $23,755 - $33,937 | 185% |
| Iha First Choice [800001] | $28,383 | 222% |
| UPMC Health Plan [100181] | $31,788 | 248% |
| Ghi [100153] | $34,936 | 273% |