CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Anthony Community Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,320
about 2.6× the $12,807 Medicare rate · typically $17,040–$51,027
modeled estimate · not a bill or quote
What this hospital charges insurers
$50,893
Above the fair price
about $17,573 over the fair price · 4.0× Medicare
Medicare pays $12,807 Fair price $33,320 This hospital $50,893

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $13,595 Priciest $50,893

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 $33,320 (about 2.6× the $12,807 Medicare rate). St Anthony Community Hospital charges insurers about $50,893 — above the fair price. Located in Warwick, NY.

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 $33,320. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $44,390 - $52,223 347%
Blue Cross Blue Shieldmajor $67,784 - $90,378 529%
Aetnamajor $45,868 - $50,965 358%
Cignamajor $54,630 427%
Geisinger $36,252 283%
MagnaCare $72,775 568%
Molina $16,768 131%
MVP Health Care $15,970 - $52,599 125%
+ 7 smaller / regional plans $15,970 - $82,176
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

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: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals