CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,927

about 1.2× the $12,807 Medicare rate · typically $14,717–$18,089

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,017

About the fair price

about $90 over the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $14,927 This hospital $15,017

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $9,797 Priciest $15,017

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

A fair price for a Heart stent placement (inpatient stay) is about $14,927 (about 1.2× the $12,807 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $15,017 — about the fair price. Located in Jefferson City, MO.

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✓ Cigna✓ Humana AetnaKaiser 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	$14,308 - $20,899	112%
Blue Cross Blue Shieldmajor	$14,603 - $20,897	114%
Cignamajor	$19,951	156%
Humanamajor	$14,631	114%
Ambetter (Centene)	$14,387 - $17,740	112%
HealthLink	$20,913	163%
WellCare	$14,387	112%
+ 7 smaller / regional plans	$14,387 - $25,896

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 SSM Health St. Mary's Hospital - Jefferson City 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 SSM Health St. Mary's Hospital - Jefferson City

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

The Children's Mercy Hospital · Kansas City $9,797
St Mary's Medical Center · Blue Springs $12,865
Cass Regional Medical Center · Harrisonville $12,941
St Joseph Medical Center · Kansas City $13,159
Cox Barton County Hospital · Lamar $13,578
SSM St Clare Health Center · Fenton $13,748
Boone Hospital Center · Columbia $13,806
Lee's Summit Medical Center · Lees Summit $14,545

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