CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Rhode Island Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,177

about 1.3× the $12,807 Medicare rate · typically $13,158–$20,830

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,887

Above the fair price

about $2,710 over the fair price · 1.6× Medicare

Medicare pays $12,807 Fair price $17,177 This hospital $19,887

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Highest price of the 4 RI hospitals we have prices for — worth calling around.

Cheapest $15,057 Priciest $19,887

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $17,177 (about 1.3× the $12,807 Medicare rate). Rhode Island Hospital charges insurers about $19,887 — above the fair price. Located in Providence, RI.

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 $17,177. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$19,887 - $32,737	155%
Blue Cross Blue Shieldmajor	$16,193	126%
Aetnamajor	$20,334 - $41,579	159%
Cignamajor	$19,887	155%
Tufts Health Plan	$19,887	155%
WellCare	$19,887	155%
+ 3 smaller / regional plans	$19,887

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 Rhode Island 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 Rhode Island Hospital

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

Newport Hospital · Newport $15,057
Landmark Medical Center · Woonsocket $15,519
The Miriam Hospital · Providence $17,575

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