Heart stent placement (inpatient stay)
Facility: Saint John's Health Center
Billing Code: 322 (MS-DRG)
This hospital's typical commercial price is $17,013 compared to the $19,778 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.86× fair market pricing.
A typical price — 4 charge more and 4 charge less, among the 9 CA hospitals compared.
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 $19,778 (about 1.5× the $12,807 Medicare rate). Saint John's Health Center charges insurers about $17,013 — below the fair price — a good deal. Located in Santa Monica, CA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $17,013 - $35,721 | 133% |
| Blue Cross Blue Shieldmajor | $17,013 - $24,691 | 133% |
| Aetnamajor | $17,013 - $41,971 | 133% |
| Cignamajor | $17,013 | 133% |
| Humanamajor | $17,013 | 133% |
| Kaiser Permanentemajor | $17,013 | 133% |
| Health Net | $17,013 - $43,970 | 133% |
| Molina | $17,013 | 133% |
| Providence Health Plan | $17,013 | 133% |
| WellCare | $17,013 | 133% |
| + 8 smaller / regional plans | $17,013 - $22,117 |
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.
Other Procedures at Saint John's Health Center
Compare: Heart stent placement (inpatient stay) at other CA hospitals
- College Medical Center · Long Beach $11,647
- Salinas Valley Memorial Hospital · Salinas $15,804
- Good Samaritan Hospital, LP · Bakersfield $16,639
- San Dimas Community Hospital · San Dimas $16,758
- French Hospital Medical Center · San Luis Obispo $17,018
- Adventist Health and Rideout · Marysville $17,022
- Garden Grove Hospital & Medical Center · Garden Grove $17,064
- Eisenhower Medical Center · Rancho Mirage $17,085
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint John's Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $14,822
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $14,822).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Saint John's Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,778 Fair BaseRate ($12,807 Medicare)
Your bill ($40,831) is $21,053 above the denoised Fair BaseRate ($19,778) and 3.2× the $12,807 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.