CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Holyoke Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,220

about 1.3× the $12,807 Medicare rate · typically $15,773–$20,975

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,261

About the fair price

about $41 over the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,220 This hospital $16,261

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 $16,261

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 $16,220 (about 1.3× the $12,807 Medicare rate). Holyoke Medical Center charges insurers about $16,261 — about the fair price. Located in Holyoke, 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	$3,887 - $19,425	30%
Blue Cross Blue Shieldmajor	$15,487	121%
Aetnamajor	$15,487 - $22,078	121%
Cignamajor	$18,677	146%
Harvard Pilgrim	$3,887	30%
Tufts Health Plan	$2,744 - $16,261	21%
UniCare	$4,000	31%
WellCare	$16,571	129%
WellSense	$16,416	128%
+ 5 smaller / regional plans	$3,780 - $17,810

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 Holyoke 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 Holyoke Medical Center

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.