CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,206

about 1.4× the $12,807 Medicare rate · typically $14,764–$27,689

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,702

About the fair price

about $504 under the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $18,206 This hospital $17,702

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $11,337 Priciest $17,702

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 $18,206 (about 1.4× the $12,807 Medicare rate). Orthocolorado Hosp at St Anthony Med Campus charges insurers about $17,702 — about the fair price. Located in Lakewood, 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	$13,129 - $42,106	103%
Blue Cross Blue Shieldmajor	$13,265 - $30,140	104%
Aetnamajor	$13,265 - $44,040	104%
Cignamajor	$13,265	104%
Humanamajor	$13,265	104%
Kaiser Permanentemajor	$13,265 - $20,529	104%
Devoted Health	$13,265	104%
+ 3 smaller / regional plans	$13,265 - $24,406

Government programs also on file: Medicare.

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 Orthocolorado Hosp at St Anthony Med Campus 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 Orthocolorado Hosp at St Anthony Med Campus

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
Community Hospital · Grand Junction $14,727
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

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