CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Joseph Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,076

about 1.2× the $12,807 Medicare rate · typically $13,302–$16,927

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,266

Below the fair price — a good deal

about $1,810 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $15,076 This hospital $13,266

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $12,454 Priciest $13,524

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

A fair price for a Heart stent placement (inpatient stay) is about $15,076 (about 1.2× the $12,807 Medicare rate). Saint Joseph Hospital charges insurers about $13,266 — below the fair price — a good deal. Located in Lexington, KY.

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	$12,665 - $26,773	99%
Blue Cross Blue Shieldmajor	$13,037 - $27,241	102%
Aetnamajor	$11,175 - $13,462	87%
Humanamajor	$12,417 - $22,641	97%
CareSource	$26,140	204%
Molina	$12,665 - $13,724	99%
WellCare	$12,665 - $13,070	99%

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 Saint Joseph 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 Saint Joseph Hospital

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

Tristar Greenview Regional Hospital · Bowling Green $12,454
Harrison Memorial Hospital · Cynthiana $12,921
Clark Regional Medical Center · Winchester $12,942
Saint Joseph London · London $12,963
T J Samson Community Hospital · Glasgow $13,195
Mercy Health - Lourdes Hospital · Paducah $13,270
Frankfort Regional Medical Center · Frankfort $13,324
Murray-Calloway County Hospital · Murray $13,524

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