CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Physicians Regional Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,721

about 1.1× the $12,807 Medicare rate · typically $12,284–$14,704

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,005

About the fair price

about $716 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $13,721 This hospital $13,005

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

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 $13,721 (about 1.1× the $12,807 Medicare rate). Physicians Regional Medical Center charges insurers about $13,005 — about the fair price. Located in Powell, 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	$1,459 - $13,938	11%
Blue Cross Blue Shieldmajor	$6,960 - $24,184	54%
Aetnamajor	$12,758 - $16,860	100%
Cignamajor	$20,765	162%
Humanamajor	$12,358 - $12,388	96%
Ambetter (Centene)	$24,561	192%
Amerigroup	$13,005	102%
Cigna HealthSpring	$12,758	100%
Devoted Health	$13,306	104%
WellCare	$13,078	102%
+ 6 smaller / regional plans	$11,230 - $24,561

Government programs also on file: Medicare, Medicaid.

Excludes 4 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 Physicians Regional Medical Center 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 Physicians Regional Medical Center

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
Tennova Healthcare-Jefferson Memorial Hospital · Jefferson City $12,927

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