CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Gadsden Regional Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,556

about 1.1× the $12,807 Medicare rate · typically $10,863–$14,537

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,956

About the fair price

about $600 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $13,556 This hospital $12,956

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $10,474 Priciest $12,956

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $13,556 (about 1.1× the $12,807 Medicare rate). Gadsden Regional Medical Center charges insurers about $12,956 — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$13,740 - $47,867	107%
Blue Cross Blue Shieldmajor	$12,154	95%
Aetnamajor	$12,903	101%
Cignamajor	$12,778 - $23,580	100%
Humanamajor	$12,528	98%
Ambetter (Centene)	$16,470	129%
Clover Health	$13,703	107%
Devoted Health	$13,597	106%
SelectHealth	$12,653	99%
WellCare	$12,956	101%
+ 5 smaller / regional plans	$1,900 - $19,766

Government programs also on file: Medicare.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Gadsden Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Gadsden Regional Medical Center

Compare: Heart stent placement (inpatient stay) at other AL hospitals

Springhill Medical Center · Mobile $10,474
North Alabama Medical Center · Florence $11,869
Riverview Regional Medical Center · Gadsden $11,883
Grandview Medical Center · Birmingham $11,888
Crestwood Medical Center · Huntsville $11,906
Medical Center Enterprise · Enterprise $12,288
Northeast Alabama Regional Medical Center · Anniston $12,586
Highlands Medical Center · Scottsboro $12,719

Insurance negotiated median for the same procedure, sorted lowest first.