CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Decatur Memorial Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,230

about 1.2× the $12,807 Medicare rate · typically $13,907–$18,340

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,105

About the fair price

about $1,125 under the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $15,230 This hospital $14,105

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 $14,105

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 $15,230 (about 1.2× the $12,807 Medicare rate). Decatur Memorial Hospital charges insurers about $14,105 — about the fair price. Located in Decatur, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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	$14,105 - $38,134	110%
Blue Cross Blue Shieldmajor	$13,682 - $14,105	107%
Aetnamajor	$14,105 - $24,329	110%
Cignamajor	$17,069	133%
Humanamajor	$12,107 - $13,204	95%
HealthLink	$14,881	116%
WellCare	$14,105	110%
+ 4 smaller / regional plans	$10,578 - $18,628

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 Decatur Memorial Hospital 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 Decatur Memorial Hospital

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

Jacksonville Memorial Hospital · Jacksonville $6,207
Blessing Hospital · Quincy $11,175
Alexian Brothers Medical Center 1 · Elk Grove Village $11,724
St Alexius Medical Center · Hoffman Estates $12,403
University of Illinois Hospital and Clinics · Chicago $12,558
Northwestern Medicine Delnor Community Hospital · Geneva $13,085
Edward Hospital · Naperville $13,495
Northwest Community Hospital 1 · Arlington Heights $13,506

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