CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ascension Saint Thomas Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,355

about 1.0× the $12,807 Medicare rate · typically $10,200–$17,159

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,860

Below the fair price — a good deal

about $1,495 under the fair price · 0.9× Medicare

Medicare pays $12,807 Fair price $13,355 This hospital $11,860

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Lowest price of the 9 TN hospitals we have prices for — a strong deal.

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 $13,355 (about 1.0× the $12,807 Medicare rate). Ascension Saint Thomas Hospital charges insurers about $11,860 — below the fair price — a good deal. Located in Nashville, 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	$10,715 - $15,974	84%
Blue Cross Blue Shieldmajor	$11,143 - $38,649	87%
Aetnamajor	$10,929 - $20,300	85%
Cignamajor	$9,450 - $26,246	74%
Humanamajor	$10,715 - $11,267	84%
Ambetter (Centene)	$13,929	109%
Amerigroup	$6,755 - $11,036	53%
Cigna HealthSpring	$10,715	84%
Oscar Health	$8,150 - $8,394	64%
+ 6 smaller / regional plans	$9,643 - $15,001

Government programs also on file: Medicare, 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, 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 Ascension Saint Thomas 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 Ascension Saint Thomas Hospital

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

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
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.