CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,074

about 1.3× the $12,807 Medicare rate · typically $14,274–$19,126

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,850

About the fair price

about $1,776 over the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $17,074 This hospital $18,850

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $11,003 Priciest $18,850

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

A fair price for a Heart stent placement (inpatient stay) is about $17,074 (about 1.3× the $12,807 Medicare rate). SSM Health St Anthony Hospital - Shawnee charges insurers about $18,850 — about the fair price. Located in Shawnee, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$14,094 - $14,303	110%
Blue Cross Blue Shieldmajor	$14,094 - $34,781	110%
Humanamajor	$14,334	112%
Ambetter (Centene)	$19,027	149%
Healthcare Highways	$17,729 - $19,027	138%
Medica	$20,392	159%
Oscar Health	$17,732	138%
+ 4 smaller / regional plans	$14,094 - $27,484

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 SSM Health St Anthony Hospital - Shawnee 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 SSM Health St Anthony Hospital - Shawnee

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

St John Owasso · Owasso $11,003
Ascension St John Broken Arrow · Broken Arrow $11,017
Ascension St John Sapulpa · Sapulpa $11,017
Ascension St John Jane Phillips · Bartlesville $11,033
Ascension St John Medical Center · Tulsa $11,262
Alliancehealth Madill · Madill $11,553
Oklahoma Surgical Hospital, LLC · Tulsa $12,431
McCurtain Memorial Hospital · Idabel $12,910

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