CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Methodist Jennie Edmundson

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,914

about 1.6× the $12,807 Medicare rate · typically $18,230–$28,247

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,514

About the fair price

about $1,400 under the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $20,914 This hospital $19,514

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 $19,514

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 $20,914 (about 1.6× the $12,807 Medicare rate). Methodist Jennie Edmundson charges insurers about $19,514 — about the fair price. Located in Council Bluffs, 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	$13,500 - $33,836	105%
Blue Cross Blue Shieldmajor	$13,500	105%
Aetnamajor	$13,500 - $19,514	105%
Humanamajor	$13,498	105%
Ambetter (Centene)	$28,448	222%
Medica	$13,500 - $31,362	105%
+ 2 smaller / regional plans	$19,325 - $26,448

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 Methodist Jennie Edmundson 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 Methodist Jennie Edmundson

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.