CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Northside Hospital Forsyth

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,847
about 1.9× the $12,807 Medicare rate · typically $13,852–$27,109
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,135
About the fair price
about $712 under the fair price · 1.8× Medicare
Medicare pays $12,807 Fair price $23,847 This hospital $23,135

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $10,641 Priciest $23,135

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

A fair price for a Heart stent placement (inpatient stay) is about $23,847 (about 1.9× the $12,807 Medicare rate). Northside Hospital Forsyth charges insurers about $23,135 — about the fair price. Located in Cumming, GA.

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 $5,000 - $29,752 39%
Blue Cross Blue Shieldmajor $3,245 - $12,377 25%
Aetnamajor $3,841 - $28,535 30%
Cignamajor $6,294 - $12,748 49%
Humanamajor $12,501 98%
Kaiser Permanentemajor $3,538 - $26,989 28%
Ambetter (Centene) $12,996 101%
Amerigroup $21,634 169%
CareSource $12,996 101%
Clover Health $12,996 101%
Health Net $25,603 200%
Oscar Health $25,679 201%
WellCare $12,748 100%
+ 11 smaller / regional plans $7,034 - $18,114
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals