CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Alexius Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,414

about 1.4× the $12,807 Medicare rate · typically $14,274–$23,520

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,403

Below the fair price — a good deal

about $5,011 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $17,414 This hospital $12,403

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $6,207 Priciest $13,650

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 $17,414 (about 1.4× the $12,807 Medicare rate). St Alexius Medical Center charges insurers about $12,403 — below the fair price — a good deal. Located in Hoffman Estates, 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✓ 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	$11,329 - $12,045	88%
Blue Cross Blue Shieldmajor	$11,926 - $15,742	93%
Aetnamajor	$7,039 - $26,261	55%
Humanamajor	$11,926	93%
Ambetter (Centene)	$19,319	151%
Bright Health	$14,907	116%
Meridian	$13,438	105%
Molina	$12,283	96%
+ 6 smaller / regional plans	$10,036 - $18,485

Government programs also on file: Medicare, Medicaid.

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 St Alexius 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 St Alexius 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
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
Morris Hospital & Healthcare Centers · Morris $13,650

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