CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Thomas Highlands Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,452

about 1.1× the $12,807 Medicare rate · typically $12,975–$19,056

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,248

About the fair price

about $1,204 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $14,452 This hospital $13,248

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 $13,248

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 $14,452 (about 1.1× the $12,807 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $13,248 — about the fair price. Located in Sparta, 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	$11,485 - $15,974	90%
Blue Cross Blue Shieldmajor	$13,248 - $35,232	103%
Aetnamajor	$13,513 - $20,300	106%
Cignamajor	$9,564 - $26,246	75%
Humanamajor	$13,248	103%
Ambetter (Centene)	$17,223	134%
Amerigroup	$6,755 - $13,248	53%
Cigna HealthSpring	$13,248	103%
Oscar Health	$8,394 - $9,510	66%
+ 5 smaller / regional plans	$10,594 - $18,547

Government programs also on file: Medicare.

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

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