CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Trinity Muscatine

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,668

about 1.4× the $12,807 Medicare rate · typically $14,671–$20,091

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,061

About the fair price

about $2,393 over the fair price · 1.6× Medicare

Medicare pays $12,807 Fair price $17,668 This hospital $20,061

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $11,862 Priciest $20,061

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

A fair price for a Heart stent placement (inpatient stay) is about $17,668 (about 1.4× the $12,807 Medicare rate). Trinity Muscatine charges insurers about $20,061 — about the fair price. Located in Muscatine, IA.

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✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$20,061 - $21,014	157%
Blue Cross Blue Shieldmajor	$19,106 - $19,488	149%
Aetnamajor	$19,488 - $24,299	152%
Humanamajor	$20,061	157%
Ambetter (Centene)	$24,837	194%
Amerigroup	$11,602	91%
Medica	$22,731 - $25,329	177%
Meridian	$20,061	157%
+ 3 smaller / regional plans	$10,029 - $19,488

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 Trinity Muscatine 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 Trinity Muscatine

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

Henry County Health Center · Mount Pleasant $11,862
Mary Greeley Medical Center · Ames $12,463
Grinnell Regional Medical Center · Grinnell $12,580
University of Iowa Health Care Medical Center Down · Iowa City $12,908
St Lukes Hospital · Cedar Rapids $13,473
Allen Hospital · Waterloo $13,665
Finley Hospital · Dubuque $14,138
St Lukes Regional Medical Center · Sioux City $14,550

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