CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: North Shore Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,843

about 1.5× the $12,807 Medicare rate · typically $14,529–$21,420

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,981

About the fair price

about $2,138 over the fair price · 1.6× Medicare

Medicare pays $12,807 Fair price $18,843 This hospital $20,981

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $11,438 Priciest $20,981

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

A fair price for a Heart stent placement (inpatient stay) is about $18,843 (about 1.5× the $12,807 Medicare rate). North Shore Medical Center charges insurers about $20,981 — about the fair price. Located in Miami, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$15,607 - $38,617	122%
Aetnamajor	$2,169 - $15,607	17%
Cignamajor	$16,387 - $22,615	128%
Humanamajor	$4,098 - $15,295	32%
Ambetter (Centene)	$29,398	230%
AmeriHealth	$34,166	267%
AvMed	$5,082 - $32,462	40%
Bright Health	$19,069	149%
Devoted Health	$15,607	122%
Molina	$19,523	152%
Oscar Health	$17,471	136%
+ 14 smaller / regional plans	$2,283 - $41,431

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

Excludes 3 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, 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 North Shore Medical Center 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 North Shore Medical Center

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

Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,438
Ascension Sacred Heart Gulf · Port Saint Joe $11,481
Sacred Heart Hospital · Pensacola $11,706
Gulf Breeze Hospital · Gulf Breeze $12,779
Jay Hospital · Jay $13,657
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $13,759
Villages Regional Hospital, The · The Villages $13,884
HCA Florida Fawcett Hospital · Port Charlotte $14,018

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