CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Prisma Health Tuomey Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,202

about 1.4× the $12,807 Medicare rate · typically $13,735–$22,552

modeled estimate · not a bill or quote

What this hospital charges insurers

$25,469

Above the fair price

about $7,267 over the fair price · 2.0× Medicare

Medicare pays $12,807 Fair price $18,202 This hospital $25,469 Cash price $73,865

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

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

Cheapest $10,740 Priciest $25,469

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

A fair price for a Heart stent placement (inpatient stay) is about $18,202 (about 1.4× the $12,807 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $25,469, or about $73,865 in cash — above the fair price. Located in Sumter, SC.

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 $18,202. 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	$5,073 - $31,995	40%
Blue Cross Blue Shieldmajor	$14,022 - $49,475	109%
Aetnamajor	$14,723	115%
Cignamajor	$14,022 - $36,009	109%
Humanamajor	$14,022	109%
Ambetter (Centene)	$14,510	113%
Molina	$14,723	115%
WellCare	$14,723	115%
+ 8 smaller / regional plans	$14,723 - $49,475

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (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 73,865), 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 Prisma Health Tuomey 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 Prisma Health Tuomey Hospital

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

Anmed Health · Anderson $10,740
Cannon Memorial Hospital · Pickens $10,958
McLeod Loris Hospital · Loris $12,159
MUSC Health Black River Medical Center · Cades $12,281
Cherokee Medical Center · Gaffney $12,622
Prisma Health Patewood Hospital · Greenville $12,631
Aiken Regional Medical Center · Aiken $13,090
East Cooper Medical Center · Mount Pleasant $13,664

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