Heart stent placement (inpatient stay)
Facility: Watsonville Community Hospital
Billing Code: 322 (MS-DRG)
- CPT Billing Code: 322
- Insurance Median: $20,244
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.58x 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 |
|---|---|---|
| Gallagher Bassett Svcs | $19,934 | 156% |
| Fleming & Associates | $19,934 | 156% |
| Miscellaneous Work Comp | $19,934 | 156% |
| Fireman's Fund Work Comp | $19,934 | 156% |
| Liberty Mutual Work Comp | $19,934 | 156% |
| Tricare | $19,934 | 156% |
| Kemper Group Workers Comp | $19,934 | 156% |
| Ace-Usa | $19,934 | 156% |
| Secure Horizons | $19,934 | 156% |
| Keenan & Assoc Work Comp | $19,934 | 156% |
| Secure Horizons Dign HMO | $19,934 | 156% |
| Western Growers Work Comp | $19,934 | 156% |
| Alignment Health Plan | $19,934 | 156% |
| Medicare (plans) | $19,934 | 156% |
| U.S. Dept. of Labor | $19,934 | 156% |
| Veterans Administration | $19,934 | 156% |
| Republic Idemnity W/Comp | $19,934 | 156% |
| Blue Shield PPO | $19,934 - $44,253 | 156% |
| Travelers Insurance | $19,934 | 156% |
| Hartford Workers' Comp | $19,934 | 156% |
| Beta Healthcare Group | $19,934 | 156% |
| Pinnacle Healthcare Uc | $19,934 | 156% |
| Workers Comp | $19,934 | 156% |
| Crawford & Co | $19,934 | 156% |
| UnitedHealthcare | $19,934 | 156% |
| Health Net of California | $19,934 | 156% |
| Medicaid / KanCare | $20,244 - $25,306 | 158% |
| Ccs/Monterey County | $20,244 - $25,306 | 158% |
| Well Path | $20,244 - $25,306 | 158% |
| Medi-Cal E.R. | $20,244 - $25,306 | 158% |
| Healthy Families | $20,244 - $44,253 | 158% |
| California Childrens Srvs | $20,244 - $25,306 | 158% |
| Medi-Cal/Eds | $20,244 - $25,306 | 158% |
| Alliance/Sccho | $30,367 - $37,958 | 237% |
| Nx Health Network | $41,861 | 327% |
| Kaiser Northern | $42,858 | 335% |
| Bs Employee | $44,253 | 346% |
| United Agriculture | $44,253 | 346% |
| Ufcw/Valley Clerks | $44,253 | 346% |