CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Pikeville Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,854

about 1.2× the $12,807 Medicare rate · typically $9,870–$16,516

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,795

About the fair price

about $1,059 under the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $15,854 This hospital $14,795

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 $14,795

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 $15,854 (about 1.2× the $12,807 Medicare rate). Pikeville Medical Center charges insurers about $14,795 — about the fair price. Located in Pikeville, 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	$12,319	96%
Blue Cross Blue Shieldmajor	$12,078 - $29,072	94%
Aetnamajor	$12,078	94%
Humanamajor	$12,078	94%
CareSource	$17,513	137%
Sentara	$12,078	94%
WellCare	$12,078 - $16,909	94%
+ 3 smaller / regional plans	$12,078 - $24,156

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 Pikeville 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 Pikeville Medical Center

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.