CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Medical Center Enterprise

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,056

about 1.1× the $12,807 Medicare rate · typically $10,914–$14,707

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,288

Below the fair price — a good deal

about $1,768 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $14,056 This hospital $12,288

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 3 charge more and 5 charge less, among the 9 AL hospitals compared.

Cheapest $10,474 Priciest $12,816

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 $14,056 (about 1.1× the $12,807 Medicare rate). Medical Center Enterprise charges insurers about $12,288 — below the fair price — a good deal. Located in Enterprise, 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	$11,945 - $21,537	93%
Blue Cross Blue Shieldmajor	$11,345 - $11,587	89%
Aetnamajor	$12,302	96%
Cignamajor	$13,471	105%
Humanamajor	$11,945	93%
Ambetter (Centene)	$16,195	126%
Cigna HealthSpring	$12,183	95%
Clover Health	$12,275	96%
Devoted Health	$12,183	95%
SelectHealth	$12,064	94%
WellCare	$12,396	97%
+ 6 smaller / regional plans	$1,300 - $21,268

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 Medical Center Enterprise 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 Medical Center Enterprise

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
Northeast Alabama Regional Medical Center · Anniston $12,586
Highlands Medical Center · Scottsboro $12,719
Hill Hospital of Sumter County · York $12,816

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