CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,338

about 1.0× the $12,807 Medicare rate · typically $12,911–$15,256

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,927

About the fair price

about $411 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $13,338 This hospital $12,927

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 7 of 8 other TN hospitals charge less.

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 $13,338 (about 1.0× the $12,807 Medicare rate). Tennova Healthcare-Jefferson Memorial Hospital charges insurers about $12,927 — about the fair price. Located in Jefferson City, TN.

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	$1,772 - $15,049	14%
Blue Cross Blue Shieldmajor	$12,927 - $26,270	101%
Aetnamajor	$11,289 - $12,927	88%
Cignamajor	$18,300	143%
Humanamajor	$12,552	98%
Ambetter (Centene)	$23,629	184%
Amerigroup	$13,178	103%
Cigna HealthSpring	$12,927	101%
Devoted Health	$12,802	100%
WellCare	$13,283	104%
+ 6 smaller / regional plans	$4,219 - $27,614

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (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, 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 Tennova Healthcare-Jefferson Memorial 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 Tennova Healthcare-Jefferson Memorial Hospital

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
Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $12,706
Blount Memorial Hospital · Maryville $12,801
Physicians Regional Medical Center · Powell $13,005

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