CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baldwin Health

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,588

about 1.1× the $12,807 Medicare rate · typically $8,610–$15,074

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,975

About the fair price

about $613 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $13,588 This hospital $12,975

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 $12,975

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 $13,588 (about 1.1× the $12,807 Medicare rate). Baldwin Health charges insurers about $12,975 — about the fair price. Located in Foley, 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	$12,819 - $45,045	100%
Blue Cross Blue Shieldmajor	$12,171 - $12,352	95%
Aetnamajor	$13,203	103%
Cignamajor	$13,075 - $18,801	102%
Humanamajor	$12,725	99%
Ambetter (Centene)	$17,796	139%
Clover Health	$14,658	114%
Devoted Health	$14,542	114%
SelectHealth	$12,947	101%
WellCare	$13,208	103%
+ 6 smaller / regional plans	$1,292 - $21,027

Government programs also on file: Medicare, Military & VA.

Excludes 3 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 Baldwin Health 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 Baldwin Health

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.