CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Falmouth Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,420
about 1.6× the $12,807 Medicare rate · typically $17,755–$25,290
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,179
About the fair price
about $2,759 over the fair price · 1.8× Medicare
Medicare pays $12,807 Fair price $20,420 This hospital $23,179

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 $23,179

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 $20,420 (about 1.6× the $12,807 Medicare rate). Falmouth Hospital charges insurers about $23,179 — about the fair price. Located in Falmouth, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $21,597 169%
Blue Cross Blue Shieldmajor $20,795 162%
Harvard Pilgrim $25,534 199%
WellSense $19,009 148%
+ 3 smaller / regional plans $19,344 - $46,812
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 67 & 100 Ter Heun Drive, Falmouth, MA 02540
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals