CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Elizabeth Edgewood

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,327

about 1.4× the $12,807 Medicare rate · typically $14,136–$23,438

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,525

Below the fair price — a good deal

about $3,802 under the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $18,327 This hospital $14,525

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $12,454 Priciest $14,525

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 $18,327 (about 1.4× the $12,807 Medicare rate). St Elizabeth Edgewood charges insurers about $14,525 — below the fair price — a good deal. Located in Edgewood, KY.

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	$13,911 - $43,477	109%
Blue Cross Blue Shieldmajor	$12,230 - $44,831	95%
Aetnamajor	$42,397	331%
Cignamajor	$46,043	360%
Humanamajor	$13,638	106%
Ambetter (Centene)	$27,277	213%
CareSource	$13,638 - $27,277	106%
Cigna HealthSpring	$13,638	106%
Devoted Health	$14,320	112%
Molina	$13,638	106%
WellCare	$14,729	115%
+ 2 smaller / regional plans	$13,638 - $33,687

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 Elizabeth Edgewood 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 Elizabeth Edgewood

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
Saint Joseph Hospital · Lexington $13,266
Mercy Health - Lourdes Hospital · Paducah $13,270
Frankfort Regional Medical Center · Frankfort $13,324

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