CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,799

about 1.3× the $12,807 Medicare rate · typically $15,348–$21,391

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,685

About the fair price

about $114 under the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,799 This hospital $16,685 Cash price $16,531 Hospital's list price $16,531

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $12,569 Priciest $16,685

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

A fair price for a Heart stent placement (inpatient stay) is about $16,799 (about 1.3× the $12,807 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $16,685, or about $16,531 in cash — about the fair price. Located in Leominster, MA.

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✓ Cigna HumanaKaiser 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	$16,685 - $17,002	130%
Blue Cross Blue Shieldmajor	$15,430 - $16,533	120%
Aetnamajor	$3,709 - $16,685	29%
Cignamajor	$4,268 - $6,206	33%
Harvard Pilgrim	$16,685	130%
Tufts Health Plan	$3,880 - $16,685	30%
+ 10 smaller / regional plans	$1,814 - $22,938

Government programs also on file: Medicare.

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 16,531), 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 UMass Memorial Healthalliance Hospitals 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 UMass Memorial Healthalliance Hospitals

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

Beth Israel Deaconess Hospital - Milton · Milton $12,569
Emerson Hospital - · W Concord $15,031
Winchester Hospital · Winchester $15,096
Anna Jaques Hospital · Newburyport $15,322
Beth Israel Deaconess Hospital Plymouth · Plymouth $15,541
South Shore Hospital · South Weymouth $15,630
Brown University Health Morton Hospital · Taunton $15,703
Heywood Hospital - · Gardner $15,723

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