CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$15,221
about 1.2× the $12,807 Medicare rate · typically $8,443–$28,083
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,323
Above the fair price
about $4,102 over the fair price · 1.5× Medicare
Medicare pays $12,807 Fair price $15,221 This hospital $19,323

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 $19,323

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 $15,221 (about 1.2× the $12,807 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $19,323 — above the fair price. Located in Cleveland, OH.

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 $15,221. 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.

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 $19,323 151%
Blue Cross Blue Shieldmajor $19,323 151%
Aetnamajor $19,323 151%
Cignamajor $19,323 151%
Humanamajor $19,323 151%
Devoted Health $19,323 151%
Medical Mutual $19,323 151%
Molina $19,323 151%
Paramount $19,902 155%
WellCare $19,323 151%
+ 5 smaller / regional plans $19,323 - $20,289

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: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens