CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Oakbend Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,520

about 1.4× the $12,807 Medicare rate · typically $14,311–$22,051

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,380

Below the fair price — a good deal

about $4,140 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $17,520 This hospital $13,380 Cash price $16,322 Hospital's list price $81,610

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 $13,380

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 $17,520 (about 1.4× the $12,807 Medicare rate). Oakbend Medical Center charges insurers about $13,380, or about $16,322 in cash — below the fair price — a good deal. Located in Richmond, TX.

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	$8,876	69%
Blue Cross Blue Shieldmajor	$9,203 - $53,960	72%
Aetnamajor	$8,260	64%
Cignamajor	$17,135	134%
Humanamajor	$6,821 - $12,210	53%
Ambetter (Centene)	$13,380 - $15,387	104%
Friday Health	$13,380 - $17,993	104%
Oscar Health	$21,909	171%
WellCare	$14,049	110%
+ 1 smaller / regional plan	$32,317

Government programs also on file: Medicare, Medicaid.

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 (about 16,322), 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 Oakbend 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 Oakbend Medical Center

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

Dell Seton Med Center at the University of Tx · Austin $9,063
Northwest Hills Surgical Hospital · Austin $9,063
Ascension Seton Highland Lakes · Burnet $9,063
Ascension Seton Edgar B Davis · Luling $9,063
Dell Children's Medical Center · Austin $9,063
Ascension Seton Cedar Park · Cedar Park $9,063
Childrens Medical Ctr of Dallas · Dallas $9,631
Childrens Medical Center Plano · Plano $9,631

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