CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Merit Health River Oaks

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,164

about 1.3× the $12,807 Medicare rate · typically $14,110–$21,808

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,401

About the fair price

about $237 over the fair price · 1.4× Medicare

Medicare pays $12,807 Fair price $17,164 This hospital $17,401

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $13,014 Priciest $17,401

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

A fair price for a Heart stent placement (inpatient stay) is about $17,164 (about 1.3× the $12,807 Medicare rate). Merit Health River Oaks charges insurers about $17,401 — about the fair price. Located in Flowood, MS.

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	$12,298 - $26,524	96%
Blue Cross Blue Shieldmajor	$18,801	147%
Aetnamajor	$2,367 - $12,666	18%
Cignamajor	$14,175	111%
Humanamajor	$12,298	96%
Devoted Health	$12,544	98%
Molina	$12,544 - $20,208	98%
WellCare	$12,764	100%
+ 14 smaller / regional plans	$3,200 - $25,028

Government programs also on file: Medicare.

Excludes 3 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, 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 Merit Health River Oaks 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 Merit Health River Oaks

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

King's Daughters Medical Center-Brookhaven · Brookhaven $13,014
Singing River Gulfport · Gulfport $13,091
Singing River Health System · Pascagoula $13,277
Merit Health River Region · Vicksburg $13,707
Baptist Medical Center-Yazoo · Yazoo City $14,112
Bmh-Calhoun · Calhoun City $14,112
Baptist Medical Center Attala · Kosciusko $14,112
Anderson Regional Medical Center South Campus · Meridian $15,037

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