CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,362

about 1.2× the $12,807 Medicare rate · typically $12,883–$18,253

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,706

Below the fair price — a good deal

about $2,656 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $15,362 This hospital $12,706 Cash price $27,661 Hospital's list price $118,717

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $11,860 Priciest $13,005

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

A fair price for a Heart stent placement (inpatient stay) is about $15,362 (about 1.2× the $12,807 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $12,706, or about $27,661 in cash — below the fair price — a good deal. Located in Gallatin, TN.

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✓ Cigna✓ Humana AetnaKaiser 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	$11,758 - $29,848	92%
Blue Cross Blue Shieldmajor	$12,217 - $22,376	95%
Cignamajor	$18,700 - $20,609	146%
Humanamajor	$12,217	95%
Ambetter (Centene)	$24,783	194%
Amerigroup	$12,217	95%
Cigna HealthSpring	$12,828	100%
Devoted Health	$12,584	98%
+ 3 smaller / regional plans	$12,217 - $12,950

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

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 27,661), 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 Highpoint Health-Sumner With Ascension Saint Thoma 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 Highpoint Health-Sumner With Ascension Saint Thoma

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

Ascension Saint Thomas Hospital · Nashville $11,860
Saint Thomas Rutherford Hospital · Murfreesboro $12,042
Dekalb Community Hospital · Smithville $12,337
Southern Tennessee Regional Health System Winchest · Winchester $12,558
Parkwest Medical Center · Knoxville $12,687
Blount Memorial Hospital · Maryville $12,801
Tennova Healthcare-Jefferson Memorial Hospital · Jefferson City $12,927
Physicians Regional Medical Center · Powell $13,005

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