CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Community Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,508

about 1.4× the $12,807 Medicare rate · typically $14,660–$34,573

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,727

Below the fair price — a good deal

about $3,781 under the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $18,508 This hospital $14,727

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 4 charge more and 4 charge less, among the 9 CO hospitals compared.

Cheapest $11,337 Priciest $15,568

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

A fair price for a Heart stent placement (inpatient stay) is about $18,508 (about 1.4× the $12,807 Medicare rate). Community Hospital charges insurers about $14,727 — below the fair price — a good deal. Located in Grand Junction, CO.

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

✓ 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	$14,727	115%
Blue Cross Blue Shieldmajor	$16,199	126%
Aetnamajor	$14,727	115%
Cignamajor	$16,199	126%
Humanamajor	$14,727	115%
Kaiser Permanentemajor	$15,169	118%
+ 1 smaller / regional plan	$14,727

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 Community Hospital 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 Community Hospital

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

San Luis Valley Regional Medical Center · Alamosa $11,337
Animas Surgical Hospital, LLC · Durango $13,289
Montrose Regional Health · Montrose $13,685
HCA Healthone Rose · Denver $14,680
Centura Health-Penrose St Francis Health Services · Colorado Springs $15,049
Hca-Healthone DBA Swedish Medical Center · Englewood $15,342
Sky Ridge Medical Center · Lone Tree $15,558
HCA Healthone Presbyterian St Luke's · Denver $15,568

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