CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,053

about 1.3× the $12,807 Medicare rate · typically $14,062–$20,756

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,701

About the fair price

about $648 over the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,053 This hospital $16,701 Cash price $17,086

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 $16,701

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 $16,053 (about 1.3× the $12,807 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $16,701, or about $17,086 in cash — about the fair price. Located in Chicago, 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	$15,906 - $17,086	124%
Blue Cross Blue Shieldmajor	$15,110 - $24,909	118%
Aetnamajor	$15,906 - $16,701	124%
Cignamajor	$15,171 - $20,274	118%
Humanamajor	$15,906 - $18,795	124%
Ambetter (Centene)	$27,680	216%
Devoted Health	$15,906	124%
Health Net	$20,504	160%
Meridian	$16,701	130%
Molina	$16,383 - $25,630	128%
WellCare	$15,906	124%
+ 7 smaller / regional plans	$15,906 - $26,484

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (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 (about 17,086), 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 Presence Saints Mary and Elizabeth Medical Center 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 Presence Saints Mary and Elizabeth Medical Center

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.