CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Clair Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,155
about 1.2× the $12,807 Medicare rate · typically $13,508–$23,870
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,524
Above the fair price
about $7,369 over the fair price · 1.8× Medicare
Medicare pays $12,807 Fair price $15,155 This hospital $22,524 Cash price $12,907 Hospital's list price $105,352

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 $22,524

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 $15,155 (about 1.2× the $12,807 Medicare rate). St Clair Hospital charges insurers about $22,524, or about $12,907 in cash — 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 $15,155. 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.

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 $12,462 - $22,524 97%
Blue Cross Blue Shieldmajor $11,235 - $35,950 88%
Aetnamajor $12,836 - $25,003 100%
Cignamajor $13,210 - $23,800 103%
Humanamajor $12,462 97%
AmeriHealth $12,462 97%
Geisinger $13,210 103%
HealthPartners $13,334 104%
UPMC Health Plan $13,263 - $19,051 104%
+ 2 smaller / regional plans $12,711 - $28,039

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: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals