CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,738

about 1.3× the $12,807 Medicare rate · typically $14,265–$20,450

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,380

About the fair price

about $358 under the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $16,738 This hospital $16,380

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $8,884 Priciest $16,380

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

A fair price for a Heart stent placement (inpatient stay) is about $16,738 (about 1.3× the $12,807 Medicare rate). Munson Healthcare Otsego Memorial Hospital charges insurers about $16,380 — about the fair price. Located in Gaylord, MI.

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	$16,380	128%
Blue Cross Blue Shieldmajor	$16,380	128%
Aetnamajor	$16,544	129%
Cignamajor	$21,274	166%
Humanamajor	$16,380	128%
Molina	$17,690	138%
Priority Health	$16,380 - $21,274	128%
+ 5 smaller / regional plans	$16,380 - $27,846

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, 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 Munson Healthcare Otsego Memorial Hospital 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 Munson Healthcare Otsego Memorial Hospital

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

Ascension Genesys Hospital · Grand Blanc $8,884
Ascension River District Hospital · East China $11,142
Corewell Health Watervliet Hospital · Watervliet $12,640
Henry Ford Health West Bloomfield Hospital · W Bloomfield $13,115
Henry Ford Health Warren Hospital · Warren $13,244
Henry Ford Macomb Hospital · Clinton Township $13,379
Henry Ford Allegiance Health · Jackson $13,475
Garden City Hospital · Garden City $13,486

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