CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,499

about 1.1× the $12,807 Medicare rate · typically $11,267–$14,036

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,031

About the fair price

about $532 over the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $13,499 This hospital $14,031

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 $14,031

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 $13,499 (about 1.1× the $12,807 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $14,031 — about the fair price. Located in Madisonville, 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	$14,031	110%
Blue Cross Blue Shieldmajor	$13,808 - $25,534	108%
Aetnamajor	$13,808 - $14,031	108%
Humanamajor	$14,031 - $158,784	110%
Ambetter (Centene)	$24,854	194%
HealthLink	$25,534	199%
Molina	$14,031	110%
WellCare	$12,554	98%
+ 6 smaller / regional plans	$13,808 - $28,997

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 Baptist Health Deaconess Madisonville 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 Baptist Health Deaconess Madisonville

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.