CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mercy Hospital Pittsburg, Inc

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,861

about 1.2× the $12,807 Medicare rate · typically $14,056–$16,448

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,924

About the fair price

about $63 over the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $14,861 This hospital $14,924 Cash price $39,026 Hospital's list price $60,040

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $7,498 Priciest $14,924

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

A fair price for a Heart stent placement (inpatient stay) is about $14,861 (about 1.2× the $12,807 Medicare rate). Mercy Hospital Pittsburg, Inc charges insurers about $14,924, or about $39,026 in cash — about the fair price. Located in Pittsburg, KS.

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	$15,214	119%
Blue Cross Blue Shieldmajor	$8,227 - $24,101	64%
Aetnamajor	$11,553 - $15,037	90%
Cignamajor	$18,060 - $20,999	141%
Humanamajor	$11,553 - $14,924	90%
Ambetter (Centene)	$15,214	119%
Medica	$14,788	115%
+ 14 smaller / regional plans	$13,751 - $22,796

Government programs also on file: Medicare, Medicaid, 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 39,026), 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 Mercy Hospital Pittsburg, 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 Mercy Hospital Pittsburg, Inc

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

Scott County Hospital · Scott City $7,498
Rehabilitation Hospital of Overland Park · Overland Park $9,858
Children's Mercy South · Overland Park $10,652
Kansas Spine & Specialty Hospital, LLC · Wichita $11,517
Kansas Heart Hospital · Wichita $11,584
Saint John Hospital · Leavenworth $11,985
Via Christi Hospital Wichita St Teresa, Inc · Wichita $12,420
Centura St. Catherine-Dodge City · Dodge City $12,930

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