CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lewisgale Hospital Pulaski

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,982

about 1.3× the $12,807 Medicare rate · typically $13,905–$22,104

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,902

Below the fair price — a good deal

about $3,080 under the fair price · 1.1× Medicare

Medicare pays $12,807 Fair price $16,982 This hospital $13,902

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 VA hospitals compared.

Cheapest $10,027 Priciest $15,507

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

A fair price for a Heart stent placement (inpatient stay) is about $16,982 (about 1.3× the $12,807 Medicare rate). Lewisgale Hospital Pulaski charges insurers about $13,902 — below the fair price — a good deal. Located in Pulaski, VA.

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	$4,431 - $40,932	35%
Blue Cross Blue Shieldmajor	$3,729 - $32,115	29%
Aetnamajor	$13,786 - $31,611	108%
Cignamajor	$13,767	107%
Humanamajor	$13,497	105%
Devoted Health	$13,767	107%
Sentara	$13,497 - $45,981	105%
+ 8 smaller / regional plans	$13,497 - $15,117

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 Lewisgale Hospital Pulaski 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 Lewisgale Hospital Pulaski

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

Childrens Hospital of the Kings Daughters Inc · Norfolk $10,027
Sentara Rmh Medical Center · Harrisonburg $13,214
Lewisgale Hospital Alleghany · Low Moor $13,328
Sentara Halifax Regional Hospital · South Boston $13,760
Sovah Health Danville · Danville $13,935
Clinch Valley Medical Center · Richlands $14,053
Community Memorial Hospital · South Hill $14,512
Carilion Medical Center · Roanoke $15,507

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