CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Westchester Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$26,394

about 2.1× the $12,807 Medicare rate · typically $17,113–$44,117

modeled estimate · not a bill or quote

Medicare pays $12,807 Fair price $26,394 Cash price $96,915 Hospital's list price $203,502

How we calculate the fair BaseRate →

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	$19,772 - $75,576	154%
Blue Cross Blue Shieldmajor	$19,772 - $93,185	154%
Aetnamajor	$19,772 - $81,304	154%
Cignamajor	$19,772 - $88,825	154%
CDPHP	$19,467 - $90,849	152%
MagnaCare	$19,772 - $112,747	154%
Molina	$20,760	162%
MVP Health Care	$19,772 - $76,514	154%
Oscar Health	$20,365	159%
WellCare	$19,772 - $36,578	154%
+ 8 smaller / regional plans	$1,523 - $90,218

Government programs also on file: 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 96,915), 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 Westchester 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 Westchester Medical Center

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 Mount Vernon Hospital · Mount Vernon $15,834
Montefiore New Rochelle Hospital · New Rochelle $15,906
Glens Falls Hospital · Glens Falls $16,418
Geneva General Hospital · Geneva $16,458

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