CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: UPMC Mercy

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,356
about 1.2× the $12,807 Medicare rate · typically $13,566–$20,614
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,982
Above the fair price
about $2,626 over the fair price · 1.4× Medicare
Medicare pays $12,807 Fair price $15,356 This hospital $17,982

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $6,351 Priciest $17,982

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

A fair price for a Heart stent placement (inpatient stay) is about $15,356 (about 1.2× the $12,807 Medicare rate). UPMC Mercy charges insurers about $17,982 — above the fair price. Located in Pittsburgh, PA.

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 $15,356. 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.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $16,650 - $51,381 130%
Aetnamajor $17,483 - $18,315 137%
AmeriHealth $17,982 140%
UPMC Health Plan $10,293 - $19,647 80%
+ 2 smaller / regional plans $16,650 - $17,982

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1400 Locust Street, Pittsburgh, PA 15219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals