CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Advocate Sherman Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,476
about 1.5× the $12,807 Medicare rate · typically $13,667–$26,668
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,631
About the fair price
about $2,155 over the fair price · 1.7× Medicare
Medicare pays $12,807 Fair price $19,476 This hospital $21,631

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $6,207 Priciest $21,631

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

A fair price for a Heart stent placement (inpatient stay) is about $19,476 (about 1.5× the $12,807 Medicare rate). Advocate Sherman Hospital charges insurers about $21,631 — about the fair price. Located in Elgin, IL.

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✓ Cigna HumanaKaiser 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 $15,436 - $18,732 121%
Blue Cross Blue Shieldmajor $14,864 - $23,657 116%
Aetnamajor $23,829 186%
Cignamajor $20,567 - $38,710 161%
Ambetter (Centene) $25,885 202%
Molina $25,885 202%
Oscar Health $26,777 209%
+ 1 smaller / regional plan $34,275
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1425 North Randall Road, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals