CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Wilson Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,774

about 1.3× the $12,807 Medicare rate · typically $12,542–$22,149

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,208

Below the fair price — a good deal

about $3,566 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $16,774 This hospital $13,208 Cash price $47,135 Hospital's list price $117,837

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $11,998 Priciest $14,978

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Heart stent placement (inpatient stay) is about $16,774 (about 1.3× the $12,807 Medicare rate). Wilson Medical Center charges insurers about $13,208, or about $47,135 in cash — below the fair price — a good deal. Located in Wilson, NC.

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	$13,340	104%
Blue Cross Blue Shieldmajor	$13,208 - $16,194	103%
Aetnamajor	$13,208	103%
Cignamajor	$24,978	195%
Humanamajor	$13,208	103%
AmeriHealth	$16,423	128%
Devoted Health	$13,340	104%
UniCare	$13,208	103%
WellCare	$13,208	103%
+ 1 smaller / regional plan	$13,208

Government programs also on file: Medicare, Military & VA.

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 47,135), 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 Wilson Medical Center 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 Wilson Medical Center

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

Maria Parham Medical Center · Henderson $11,998
Haywood Regional Medical Center · Clyde $12,259
Sentara Albemarle Medical Center · Elizabeth City $12,430
Rutherford Regional Medical Center · Rutherfordton $13,685
Ecu Health North Hospital · Roanoke Rapids $14,060
Columbus Regional Healthcare System · Whiteville $14,622
Vidant Roanoke Chowan Hospital · Ahoskie $14,839
Hugh Chatham Memorial Hospital · Elkin $14,978

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