CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Adventist Health Sonora

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,167

about 1.2× the $12,807 Medicare rate · typically $9,258–$19,345

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,304

About the fair price

about $2,137 over the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $15,167 This hospital $17,304 Cash price $24,550 Hospital's list price $144,413

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 $17,304

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 $15,167 (about 1.2× the $12,807 Medicare rate). Adventist Health Sonora charges insurers about $17,304, or about $24,550 in cash — about the fair price. Located in Sonora, CA.

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	$17,304 - $100,742	135%
Blue Cross Blue Shieldmajor	$7,672 - $17,304	60%
Aetnamajor	$17,304 - $45,832	135%
Cignamajor	$122,751	958%
Kaiser Permanentemajor	$72,206	564%
Health Net	$17,304 - $112,353	135%
+ 12 smaller / regional plans	$28,998 - $122,751

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

Excludes 7 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 (about 24,550), 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 Adventist Health Sonora 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 Adventist Health Sonora

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
Saint John's Health Center · Santa Monica $17,013
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

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