CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Northside Hospital Duluth

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,038

about 1.9× the $12,807 Medicare rate · typically $13,692–$27,252

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,141

Below the fair price — a good deal

about $4,897 under the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $24,038 This hospital $19,141

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 $19,141

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 $24,038 (about 1.9× the $12,807 Medicare rate). Northside Hospital Duluth charges insurers about $19,141 — below the fair price — a good deal. Located in Duluth, 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 - $18,493	25%
Aetnamajor	$3,841 - $28,535	30%
Cignamajor	$6,294 - $19,048	49%
Humanamajor	$16,766 - $18,678	131%
Kaiser Permanentemajor	$3,538 - $26,989	28%
Ambetter (Centene)	$17,430 - $19,418	136%
Amerigroup	$19,233 - $21,634	150%
CareSource	$18,420	144%
Clover Health	$18,420	144%
Health Net	$25,603	200%
Oscar Health	$25,679	201%
WellCare	$17,098 - $19,048	134%
+ 12 smaller / regional plans	$1,340 - $19,418

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.

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 Northside Hospital Duluth 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 Northside Hospital Duluth

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

Coffee Regional Medical Center, Inc · Douglas $10,641
Bacon County Hospital · Alma $11,647
Phoebe Putney Memorial Hospital · Albany $13,546
Wellstar Paulding Medical Center · Hiram $13,737
Wellstar North Fulton Medical Center · Roswell $13,837
Doctors Hospital · Augusta $14,113
Fairview Park Hospital · Dublin $14,148
Memorial Health Meadows Hospital · Vidalia $14,323

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