CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Citizens Memorial Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,363

about 1.2× the $12,807 Medicare rate · typically $14,110–$15,363

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,245

About the fair price

about $118 under the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $15,363 This hospital $15,245

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 $15,245

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 $15,363 (about 1.2× the $12,807 Medicare rate). Citizens Memorial Hospital charges insurers about $15,245 — about the fair price. Located in Bolivar, 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✓ Aetna✓ Humana CignaKaiser 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	$2,384 - $15,245	19%
Blue Cross Blue Shieldmajor	$1,822 - $16,008	14%
Aetnamajor	$1,936 - $15,245	15%
Humanamajor	$15,245	119%
Ambetter (Centene)	$20,810	162%
Health Net	$1,516 - $15,245	12%
WellCare	$15,703	123%
+ 3 smaller / regional plans	$15,245 - $16,008

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 Citizens 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 Citizens Memorial Hospital

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.