CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: CHI Health Midlands

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,675

about 1.7× the $12,807 Medicare rate · typically $18,497–$29,085

modeled estimate · not a bill or quote

What this hospital charges insurers

$28,206

Above the fair price

about $6,531 over the fair price · 2.2× Medicare

Medicare pays $12,807 Fair price $21,675 This hospital $28,206

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $13,359 Priciest $28,206

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

A fair price for a Heart stent placement (inpatient stay) is about $21,675 (about 1.7× the $12,807 Medicare rate). CHI Health Midlands charges insurers about $28,206 — above the fair price. Located in Papillion, NE.

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 $21,675. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$12,377 - $37,197	97%
Blue Cross Blue Shieldmajor	$12,377	97%
Humanamajor	$12,377	97%
Ambetter (Centene)	$12,748	100%
Amerigroup	$12,995	101%
Medica	$12,377 - $31,368	97%
+ 9 smaller / regional plans	$12,377 - $32,436

Excludes 1 rental-network / third-party entry (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 CHI Health Midlands 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 CHI Health Midlands

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

Mary Lanning Healthcare · Hastings $13,359
Midwest Surgical Hospital LLC · Omaha $14,667
Methodist Fremont Health · Fremont $16,845
Faith Regional Health Services · Norfolk $17,023
Regional West Medical Center · Scottsbluff $17,577
Nebraska Orthopaedic Hospital · Omaha $18,149
Columbus Community Hospital, Inc · Columbus $18,918
CHI Health Nebraska Heart · Lincoln $19,039

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