CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: SSM St Clare Health Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,536
about 1.3× the $12,807 Medicare rate · typically $13,720–$25,087
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,748
Below the fair price — a good deal
about $2,788 under the fair price · 1.1× Medicare
Medicare pays $12,807 Fair price $16,536 This hospital $13,748

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MO hospitals compared.

Cheapest $9,797 Priciest $14,597

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 $16,536 (about 1.3× the $12,807 Medicare rate). SSM St Clare Health Center charges insurers about $13,748 — below the fair price — a good deal. Located in Fenton, 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 $13,531 - $23,072 106%
Blue Cross Blue Shieldmajor $13,734 - $31,117 107%
Aetnamajor $13,531 - $20,733 106%
Cignamajor $22,507 176%
Humanamajor $13,762 107%
Ambetter (Centene) $13,531 - $16,456 106%
HealthLink $12,602 - $21,051 98%
Medica $12,653 - $13,531 99%
Molina $13,531 106%
Oscar Health $20,627 161%
+ 3 smaller / regional plans $13,531 - $13,667

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Facility Profile & Credentials

  • Address: 1015 Bowles, Fenton, MO 63026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals