CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Mary Medical Center Inc

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,690

about 1.8× the $12,807 Medicare rate · typically $14,348–$29,877

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,412

About the fair price

about $2,722 over the fair price · 2.1× Medicare

Medicare pays $12,807 Fair price $23,690 This hospital $26,412 Cash price $56,083 Hospital's list price $93,471

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $11,413 Priciest $26,412

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

A fair price for a Heart stent placement (inpatient stay) is about $23,690 (about 1.8× the $12,807 Medicare rate). St Mary Medical Center Inc charges insurers about $26,412, or about $56,083 in cash — about the fair price. Located in Hobart, IN.

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	$22,688 - $26,412	177%
Blue Cross Blue Shieldmajor	$13,668 - $37,259	107%
Aetnamajor	$32,973 - $33,994	257%
Cignamajor	$20,430 - $27,855	160%
Humanamajor	$16,308 - $17,630	127%
Ambetter (Centene)	$13,668	107%
+ 12 smaller / regional plans	$13,668 - $37,259

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

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 56,083), 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 Mary Medical Center Inc 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 Mary Medical Center Inc

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

Pinnacle Hospital · Crown Point $11,413
Norton Scott Hospital · Scottsburg $11,514
Schneck Medical Center · Seymour $12,648
Goshen Hospital · Goshen $13,233
Ascension St Vincent Warrick · Boonville $13,590
Orthopaedic Hospital at Parkview North · Fort Wayne $13,665
Ascension St Vincent Salem · Salem $13,700
Ascension St Vincent Evansville · Evansville $13,833

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