CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Alliancehealth Madill

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,414

about 1.3× the $12,807 Medicare rate · typically $9,573–$22,390

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,553

Below the fair price — a good deal

about $4,861 under the fair price · 0.9× Medicare

Medicare pays $12,807 Fair price $16,414 This hospital $11,553

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OK hospitals compared.

Cheapest $11,003 Priciest $13,177

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 $16,414 (about 1.3× the $12,807 Medicare rate). Alliancehealth Madill charges insurers about $11,553 — below the fair price — a good deal. Located in Madill, OK.

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	$2,600 - $17,977	20%
Blue Cross Blue Shieldmajor	$2,677 - $19,611	21%
Aetnamajor	$8,792 - $11,553	69%
Cignamajor	$14,947	117%
Humanamajor	$2,600 - $11,553	20%
Healthcare Highways	$10,992	86%
+ 4 smaller / regional plans	$2,600 - $22,796

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (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 Alliancehealth Madill 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 Alliancehealth Madill

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
Oklahoma Surgical Hospital, LLC · Tulsa $12,431
McCurtain Memorial Hospital · Idabel $12,910
Mercy Hospital Ada · Ada $13,177

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