CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mercy Hospital South

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,129

about 1.3× the $12,807 Medicare rate · typically $13,210–$22,503

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,346

About the fair price

about $217 over the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $17,129 This hospital $17,346 Cash price $47,223 Hospital's list price $72,651

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 $17,346

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 $17,129 (about 1.3× the $12,807 Medicare rate). Mercy Hospital South charges insurers about $17,346, or about $47,223 in cash — about the fair price. Located in Saint Louis, 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	$13,356 - $21,748	104%
Blue Cross Blue Shieldmajor	$13,356 - $28,353	104%
Aetnamajor	$13,356 - $20,585	104%
Cignamajor	$13,356 - $19,016	104%
Humanamajor	$9,009 - $13,356	70%
Ambetter (Centene)	$3,855	30%
HealthLink	$17,346 - $23,864	135%
Medica	$14,508	113%
+ 31 smaller / regional plans	$3,855 - $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 47,223), 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 South 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 South

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.