CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: The Monroe Clinic

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,260

about 1.4× the $12,807 Medicare rate · typically $12,685–$29,094

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,539

Below the fair price — a good deal

about $5,721 under the fair price · 1.0× Medicare

Medicare pays $12,807 Fair price $18,260 This hospital $12,539

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $10,940 Priciest $15,215

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

A fair price for a Heart stent placement (inpatient stay) is about $18,260 (about 1.4× the $12,807 Medicare rate). The Monroe Clinic charges insurers about $12,539 — below the fair price — a good deal. Located in Monroe, WI.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$12,539 - $28,291	98%
Blue Cross Blue Shieldmajor	$12,539 - $25,562	98%
Aetnamajor	$12,539	98%
Humanamajor	$12,539	98%
Molina	$12,539	98%
Quartz	$25,484	199%
+ 4 smaller / regional plans	$12,539 - $35,070

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 The Monroe Clinic 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 The Monroe Clinic

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

Memorial Hospital of Lafayette County · Darlington $10,940
Orthopaedic Hospital of Wisconsin · Glendale $12,084
Sauk Prairie Hospital · Prairie Du Sac $12,461
Oakleaf Surgical Hospital · Altoona $12,485
Mile Bluff Medical Center · Mauston $12,679
Beloit Health System · Beloit $14,422
Ascension Sacred Heart Rehabilitation Hospital · Mequon $15,202
Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $15,215

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