CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Melrosewakefield Healthcare

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,487

about 1.4× the $12,807 Medicare rate · typically $15,675–$25,872

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,557

Above the fair price

about $3,070 over the fair price · 1.6× Medicare

Medicare pays $12,807 Fair price $17,487 This hospital $20,557 Cash price $34,850 Hospital's list price $49,786

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 $20,557

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 $17,487 (about 1.4× the $12,807 Medicare rate). Melrosewakefield Healthcare charges insurers about $20,557, or about $34,850 in cash — above the fair price. Located in Melrose, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,487. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$15,426 - $15,596	120%
Blue Cross Blue Shieldmajor	$15,596 - $44,041	122%
Aetnamajor	$4,127	32%
Cignamajor	$15,426	120%
Humanamajor	$15,426	120%
Harvard Pilgrim	$15,426	120%
Tufts Health Plan	$25,998 - $26,361	203%
WellSense	$26,361 - $44,814	206%
+ 14 smaller / regional plans	$3,105 - $44,041

Government programs also on file: Medicare, Medicaid, Military & VA.

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 34,850), 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 Melrosewakefield Healthcare 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 Melrosewakefield Healthcare

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.