CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: West Penn Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,573

about 1.1× the $12,807 Medicare rate · typically $13,364–$19,634

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,141

About the fair price

about $432 under the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $14,573 This hospital $14,141

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 $14,141

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 $14,573 (about 1.1× the $12,807 Medicare rate). West Penn Hospital charges insurers about $14,141 — about the fair price. Located in Pittsburgh, PA.

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	$13,216 - $14,273	103%
Blue Cross Blue Shieldmajor	$12,159 - $47,186	95%
Aetnamajor	$13,745 - $39,970	107%
Cignamajor	$14,141 - $37,718	110%
Humanamajor	$14,009	109%
AmeriHealth	$13,877	108%
Geisinger	$13,877	108%
Medical Mutual	$37,718	295%
Molina	$14,405	112%
+ 5 smaller / regional plans	$13,216 - $22,414

Government programs also on file: Medicare.

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 West Penn Hospital 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 West Penn Hospital

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

Clarion Hospital · Clarion $6,351
Independence Health System Butler Memorial Hospita · Butler $6,639
Geisinger-Bloomsburg Hospital · Bloomsburg $11,972
Chan Soon- Shiong Medical Center at Windber · Windber $12,087
Penn State Health Lancaster Medical Center · Lancaster $12,371
UPMC Hanover · Hanover $12,984
Punxsutawney Area Hospital · Punxsutawney $13,058
Meadville Medical Center · Meadville $13,171

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