CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Southcoast Hospitals Group

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,246

about 1.3× the $12,807 Medicare rate · typically $15,689–$19,697

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,870

About the fair price

about $624 over the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,246 This hospital $16,870 Cash price $42,999 Hospital's list price $85,998

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 $16,870

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 $16,246 (about 1.3× the $12,807 Medicare rate). Southcoast Hospitals Group charges insurers about $16,870, or about $42,999 in cash — about the fair price. Located in Fall River, 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	$16,066 - $38,134	125%
Blue Cross Blue Shieldmajor	$16,066 - $49,525	125%
Aetnamajor	$16,066 - $77,586	125%
Cignamajor	$59,855 - $70,588	467%
Priority Health	$68,798 - $81,135	537%
Tufts Health Plan	$8,005 - $59,138	63%
WellSense	$16,227 - $26,430	127%
+ 8 smaller / regional plans	$16,066 - $81,135

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 42,999), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

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.