CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Childrens Hospital of Wisconsin

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$29,484

about 2.3× the $12,807 Medicare rate · typically $13,214–$55,506

modeled estimate · not a bill or quote

Medicare pays $12,807 Fair price $29,484

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$54,900	429%

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 Childrens 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.

Other Procedures at Childrens Hospital of Wisconsin

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
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

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