CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,395

about 1.7× the $12,807 Medicare rate · typically $16,145–$38,098

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,834

Below the fair price — a good deal

about $6,561 under the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $22,395 This hospital $15,834

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.

Cheapest $13,595 Priciest $16,539

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

A fair price for a Heart stent placement (inpatient stay) is about $22,395 (about 1.7× the $12,807 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $15,834 — below the fair price — a good deal. Located in Mount Vernon, NY.

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	$14,460 - $62,003	113%
Blue Cross Blue Shieldmajor	$14,460	113%
Aetnamajor	$52,133 - $58,316	407%
Cignamajor	$53,875 - $59,861	421%
Humanamajor	$14,894	116%
Fidelis Care	$14,460	113%
Molina	$19,955	156%
Oscar Health	$51,364	401%
WellCare	$14,460	113%
+ 14 smaller / regional plans	$14,460 - $144,728

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 Montefiore Mount Vernon 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 Montefiore Mount Vernon Hospital

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

Kenmore Mercy Hospital · Kenmore $13,595
Mercy Hospital of Buffalo · Buffalo $13,595
Montefiore St Luke's Cornwall · Newburgh $15,472
Bertrand Chaffee Hospital · Springville $15,828
Montefiore New Rochelle Hospital · New Rochelle $15,906
Glens Falls Hospital · Glens Falls $16,418
Geneva General Hospital · Geneva $16,458
Brookdale Hospital Medical Center · Brooklyn $16,539

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