CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Spotsylvania Regional Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,404

about 1.7× the $12,807 Medicare rate · typically $15,018–$33,450

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,120

About the fair price

about $284 under the fair price · 1.7× Medicare

Medicare pays $12,807 Fair price $22,404 This hospital $22,120

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $10,027 Priciest $22,120

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 $22,404 (about 1.7× the $12,807 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $22,120 — about the fair price. Located in Fredericksburg, 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	$3,382 - $31,248	26%
Blue Cross Blue Shieldmajor	$2,303 - $39,472	18%
Aetnamajor	$14,269 - $32,365	111%
Cignamajor	$14,249 - $35,194	111%
Humanamajor	$13,970	109%
Devoted Health	$14,249	111%
Sentara	$13,970 - $45,981	109%
+ 4 smaller / regional plans	$14,249 - $14,668

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 Spotsylvania 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 Spotsylvania Regional Medical Center

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
Lewisgale Hospital Pulaski · Pulaski $13,902
Sovah Health Danville · Danville $13,935
Clinch Valley Medical Center · Richlands $14,053
Community Memorial Hospital · South Hill $14,512

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