CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mercy Hospital Jefferson

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,194

about 1.3× the $12,807 Medicare rate · typically $13,359–$23,428

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,061

About the fair price

about $1,133 under the fair price · 1.3× Medicare

Medicare pays $12,807 Fair price $17,194 This hospital $16,061 Cash price $51,904 Hospital's list price $79,852

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 $16,061

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Heart stent placement (inpatient stay) is about $17,194 (about 1.3× the $12,807 Medicare rate). Mercy Hospital Jefferson charges insurers about $16,061, or about $51,904 in cash — about the fair price. Located in Crystal City, MO.

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	$13,715 - $21,070	107%
Blue Cross Blue Shieldmajor	$12,083 - $35,606	94%
Aetnamajor	$13,980 - $20,585	109%
Cignamajor	$13,980 - $16,861	109%
Humanamajor	$13,715 - $13,980	107%
Ambetter (Centene)	$3,478	27%
HealthLink	$16,061 - $23,864	125%
Medica	$14,256	111%
+ 32 smaller / regional plans	$3,478 - $30,549

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

Excludes 5 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 51,904), 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 Mercy Hospital Jefferson 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 Mercy Hospital Jefferson

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.