CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: St Anthony Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$26,025

about 2.0× the $12,807 Medicare rate · typically $18,823–$38,151

modeled estimate · not a bill or quote

What this hospital charges insurers

$28,518

About the fair price

about $2,493 over the fair price · 2.2× Medicare

Medicare pays $12,807 Fair price $26,025 This hospital $28,518

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $10,855 Priciest $28,518

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

A fair price for a Heart stent placement (inpatient stay) is about $26,025 (about 2.0× the $12,807 Medicare rate). St Anthony Hospital charges insurers about $28,518 — about the fair price. Located in Gig Harbor, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$15,041 - $42,867	117%
Blue Cross Blue Shieldmajor	$15,339 - $50,076	120%
Aetnamajor	$15,339 - $47,302	120%
Cignamajor	$34,845	272%
Humanamajor	$15,934	124%
Kaiser Permanentemajor	$14,892 - $38,713	116%
Amerigroup	$15,934	124%
Molina	$16,083 - $28,518	126%
+ 5 smaller / regional plans	$14,892 - $39,426

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 St Anthony 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 St Anthony Hospital

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

Prosser Memorial Hospital · Prosser $10,855
Trios Health · Kennewick $15,057
Providence St Mary Medical Center · Walla Walla $16,519
Valley Medical Center · Renton $16,587
Kadlec Regional Medical Center · Richland $17,681
Swedish Issaquah · Issaquah $18,104
Legacy Salmon Creek Medical Center · Vancouver $19,021
Providence Holy Family Hospital · Spokane $20,639

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