CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,742
about 1.6× the $12,807 Medicare rate · typically $14,733–$26,783
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,872
Above the fair price
about $5,130 over the fair price · 2.0× Medicare
Medicare pays $12,807 Fair price $20,742 This hospital $25,872

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $9,063 Priciest $25,872

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

A fair price for a Heart stent placement (inpatient stay) is about $20,742 (about 1.6× the $12,807 Medicare rate). Texas Health Presbyterian Hospital Kaufman charges insurers about $25,872 — above the fair price. Located in Kaufman, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $20,742. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $22,704 - $63,027 177%
Blue Cross Blue Shieldmajor $20,454 - $100,526 160%
Aetnamajor $30,760 - $41,012 240%
Cignamajor $55,677 - $78,424 435%
Humanamajor $21,272 166%
Amerigroup $21,476 168%
Cigna HealthSpring $20,863 163%
Molina $21,476 168%
WellCare $21,476 - $22,499 168%
+ 2 smaller / regional plans $20,454 - $36,560

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 850 Ed Hall, Kaufman, TX 75142
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals