CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Northwest Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,452

about 1.4× the $12,807 Medicare rate · typically $15,306–$20,375

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,244

About the fair price

about $208 under the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $18,452 This hospital $18,244

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $13,582 Priciest $18,244

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

A fair price for a Heart stent placement (inpatient stay) is about $18,452 (about 1.4× the $12,807 Medicare rate). Northwest Medical Center charges insurers about $18,244 — about the fair price. Located in Tucson, AZ.

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	$2,500 - $22,856	20%
Blue Cross Blue Shieldmajor	$13,959 - $65,211	109%
Aetnamajor	$10,551 - $19,560	82%
Cignamajor	$13,715 - $23,416	107%
Humanamajor	$13,642	107%
Ambetter (Centene)	$19,995	156%
Banner Health	$14,399	112%
Clover Health	$15,308	120%
Devoted Health	$14,125	110%
Health Net	$18,203	142%
WellCare	$14,399	112%
+ 10 smaller / regional plans	$13,715 - $32,107

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

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 Northwest 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 Northwest Medical Center

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

Yavapai Regional Medical Center · Prescott $13,582
Honorhealth Scottsdale Shea Medical Center · Scottsdale $14,053
Havasu Regional Medical Center · Lake Havasu City $14,089
Valley View Medical Center · Fort Mohave $14,146
Honorhealth Deer Valley Medical Center · Phoenix $14,399
Banner Heart Hospital · Mesa $14,443
Honorhealth Sonoran Crossing Medical Center · Phoenix $14,540
Honorhealth Scottsdale Osborn Medical Center · Scottsdale $14,583

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