CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Atrium Health Pineville

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,431
about 1.6× the $12,807 Medicare rate · typically $11,571–$23,400
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,270
Above the fair price
about $4,839 over the fair price · 2.0× Medicare
Medicare pays $12,807 Fair price $20,431 This hospital $25,270

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $11,998 Priciest $25,270

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

A fair price for a Heart stent placement (inpatient stay) is about $20,431 (about 1.6× the $12,807 Medicare rate). Atrium Health Pineville charges insurers about $25,270 — above the fair price. Located in Charlotte, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $20,431. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $13,916 - $23,820 109%
Blue Cross Blue Shieldmajor $27,636 - $36,363 216%
Aetnamajor $13,676 107%
Cignamajor $13,875 - $32,381 108%
Humanamajor $13,478 105%
Ambetter (Centene) $19,442 - $24,478 152%
AmeriHealth $24,804 194%
WellCare $25,270 197%
+ 6 smaller / regional plans $25,049 - $26,028

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals