CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Legacy Mount Hood Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,995

about 1.6× the $12,807 Medicare rate · typically $15,806–$30,580

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,813

About the fair price

about $1,182 under the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $19,995 This hospital $18,813

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $15,386 Priciest $22,758

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

A fair price for a Heart stent placement (inpatient stay) is about $19,995 (about 1.6× the $12,807 Medicare rate). Legacy Mount Hood Medical Center charges insurers about $18,813 — about the fair price. Located in Gresham, OR.

What each insurance company pays

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

6 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	$17,457 - $39,525	136%
Blue Cross Blue Shieldmajor	$17,796 - $38,100	139%
Aetnamajor	$17,796 - $48,482	139%
Cignamajor	$18,643	146%
Humanamajor	$17,796	139%
Kaiser Permanentemajor	$16,949 - $33,897	132%
Devoted Health	$17,796	139%
Health Net	$17,966	140%
Moda Health	$18,982 - $44,820	148%
PacificSource	$18,304 - $33,656	143%
+ 6 smaller / regional plans	$17,457 - $32,564

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 Legacy Mount Hood 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 Legacy Mount Hood Medical Center

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

St Charles Medical Center - Bend · Bend $15,386
Providence Newberg Medical Center · Newberg $16,275
Legacy Meridian Park Medical Center · Tualatin $16,855
Sky Lakes Medical Center · Klamath Falls $18,097
Providence Medford Medical Center · Medford $18,427
Legacy Good Samaritan Medical Center · Portland $19,726
Legacy Emanuel Medical Center · Portland $20,938
Legacy Silverton Medical Center · Silverton $22,758

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