CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,478
about 1.6× the $12,807 Medicare rate · typically $17,654–$29,775
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,962
Above the fair price
about $3,484 over the fair price · 1.9× Medicare
Medicare pays $12,807 Fair price $20,478 This hospital $23,962

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $11,647 Priciest $23,962

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

A fair price for a Heart stent placement (inpatient stay) is about $20,478 (about 1.6× the $12,807 Medicare rate). Santa Monica - UCLA Med Ctr & Orthopaedic Hospital charges insurers about $23,962 — above the fair price. Located in Santa Monica, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $20,478. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente Humana

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 $20,818 - $43,946 163%
Blue Cross Blue Shieldmajor $20,619 - $36,541 161%
Aetnamajor $20,619 161%
Cignamajor $42,564 332%
Kaiser Permanentemajor $32,548 254%
Health Net $27,247 213%
Providence Health Plan $22,900 179%
+ 6 smaller / regional plans $12,497 - $29,400
Government programs also on file: Medicare.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals