CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Adventist Health Portland

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,759

about 1.5× the $12,807 Medicare rate · typically $15,855–$32,152

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,048

Above the fair price

about $3,289 over the fair price · 1.8× Medicare

Medicare pays $12,807 Fair price $19,759 This hospital $23,048 Cash price $30,425 Hospital's list price $95,078

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $15,386 Priciest $23,048

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 $19,759 (about 1.5× the $12,807 Medicare rate). Adventist Health Portland charges insurers about $23,048, or about $30,425 in cash — above the fair price. Located in Portland, OR.

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 $19,759. 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.

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	$15,851 - $23,980	124%
Blue Cross Blue Shieldmajor	$15,444 - $31,584	121%
Aetnamajor	$47,425	370%
Cignamajor	$22,090	172%
Humanamajor	$15,253 - $15,851	119%
Kaiser Permanentemajor	$14,954 - $26,512	117%
Health Net	$17,197 - $28,384	134%
Moda Health	$15,851 - $43,899	124%
+ 11 smaller / regional plans	$10,557 - $83,669

Excludes 6 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 (about 30,425), 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 Adventist Health Portland 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 Adventist Health Portland

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 Mount Hood Medical Center · Gresham $18,813
Legacy Good Samaritan Medical Center · Portland $19,726
Legacy Emanuel Medical Center · Portland $20,938

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