CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Orthopaedic Hospital of Wisconsin

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,625

about 1.7× the $12,807 Medicare rate · typically $13,596–$38,082

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,084

Below the fair price — a good deal

about $9,541 under the fair price · 0.9× Medicare

Medicare pays $12,807 Fair price $21,625 This hospital $12,084

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 7 of 8 other WI hospitals charge more for the same procedure.

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 $21,625 (about 1.7× the $12,807 Medicare rate). Orthopaedic Hospital of Wisconsin charges insurers about $12,084 — below the fair price — a good deal. Located in Glendale, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$12,084	94%
Blue Cross Blue Shieldmajor	$12,084	94%
Humanamajor	$12,084	94%
Molina	$26,586	208%

Government programs also on file: Medicare.

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 Orthopaedic Hospital of Wisconsin 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 Orthopaedic Hospital of Wisconsin

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

Memorial Hospital of Lafayette County · Darlington $10,940
Sauk Prairie Hospital · Prairie Du Sac $12,461
Oakleaf Surgical Hospital · Altoona $12,485
The Monroe Clinic · Monroe $12,539
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.