CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mercy Health-Anderson Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,725

about 1.4× the $12,807 Medicare rate · typically $14,457–$25,252

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,640

About the fair price

about $1,915 over the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $17,725 This hospital $19,640

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $7,934 Priciest $19,640

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

A fair price for a Heart stent placement (inpatient stay) is about $17,725 (about 1.4× the $12,807 Medicare rate). Mercy Health-Anderson Hospital charges insurers about $19,640 — about the fair price. Located in Cincinnati, OH.

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	$12,965 - $33,432	101%
Blue Cross Blue Shieldmajor	$12,965 - $33,330	101%
Aetnamajor	$12,965 - $34,539	101%
Cignamajor	$26,085	204%
Humanamajor	$12,965	101%
CareSource	$13,224 - $19,640	103%
Devoted Health	$13,680	107%
Medical Mutual	$32,362	253%
Molina	$13,613 - $23,026	106%
Paramount	$13,545	106%
+ 3 smaller / regional plans	$12,965 - $20,994

Government programs also on file: Medicare.

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 Mercy Health-Anderson 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 Mercy Health-Anderson Hospital

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

Fulton County Health Center · Wauseon $7,934
Christ Hospital · Cincinnati $11,541
Medina Hospital · Medina $12,084
Southeastern Ohio Regional Medical Center · Cambridge $12,151
Mercer County Joint Township Community Hospital · Coldwater $12,259
Blanchard Valley Hospital · Findlay $12,292
Bluffton Hospital · Bluffton $12,292
Cleveland Clinic Avon Hospital · Avon $12,323

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