CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,225

about 1.2× the $12,807 Medicare rate · typically $12,984–$23,203

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,949

Below the fair price — a good deal

about $2,276 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $15,225 This hospital $12,949

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 7 of 8 other ID hospitals charge more for the same procedure.

Cheapest $12,209 Priciest $37,288

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

A fair price for a Heart stent placement (inpatient stay) is about $15,225 (about 1.2× the $12,807 Medicare rate). Idaho Falls Community Hospital, LLC charges insurers about $12,949 — below the fair price — a good deal. Located in Idaho Falls, ID.

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	$12,949 - $23,704	101%
Blue Cross Blue Shieldmajor	$12,949	101%
Aetnamajor	$12,949	101%
Humanamajor	$12,949	101%
Molina	$12,949	101%
PacificSource	$12,949	101%
SelectHealth	$12,949	101%
+ 2 smaller / regional plans	$12,949

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 Idaho Falls Community Hospital, LLC 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 Idaho Falls Community Hospital, LLC

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

Treasure Valley Hospital · Boise $12,209
Northwest Specialty Hospital · Post Falls $12,994
Mountain View Hospital · Idaho Falls $14,101
Kootenai Health · Coeur D'Alene $14,768
Madison Memorial Hospital · Rexburg $16,328
West Valley Medical Center · Caldwell $16,347
Eastern Idaho Regional Medical Center · Idaho Falls $33,876
Saint Alphonsus Regional Medical Center · Boise $37,288

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