▸ Procedure · surgery · MS-DRG 246

PCI w drug-eluting stent w MCC

What US hospitals charge for pci w drug-eluting stent w mcc — negotiated rates by payer + state-by-state pricing.

Hospitals
465
Rate rows
3,686
Neg. median
$27,662
Neg. min
$18.5
Neg. max
$202,440
Cash median
$43,481

Across 465 US hospitals publishing MRFs, the negotiated rate for PCI w drug-eluting stent w MCC ranges from $18.5 to $202,440, with a median of $27,662. Half of all rates fall between $3,627 and $52,357. Cash-pay patients typically pay $43,481; hospital list (gross) prices median $43,481.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield234597$38,321
Aetna136208$22,938
UnitedHealthcare123325$63,026
Cigna112159$20,569
Humana73100$26,638
Multiplan6060$93.5
upmc work partners5254$9,495.41
amerihealth4989$59,273
Medicare4284$23,597
first choice3344$64,488
Anthem BCBS3350$29,619
First Health2828$92.5
Kaiser Permanente2628$28,636
qualcare inc2374$44,252
medical mutual2260$43.6
phcs2121$75.7
providence health plan1818$54,675
Health Net1831$61,407
Centene1721$16,066
iamolina1616$16,381
amerigroup1622$16,066
geisinger health plan1515$99,774
osfdan1313$80
Ambetter1313$91.21
quiktrip1212$60
healthlink1214$48,511
contracted commercial1138$85
ibc1129$53,081
geisinger1111$101,974
medica1136$95.75

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK5$81
AL8$34,402
AR4$19,271
AZ6$49,297
CA41$31,858
DE2$89
GA3$44,420
HI2$22,444
IA5$96
IL17$31,494
LA2$20,454
MA7$37,101
MN5$85
MO2$31,347
NC3$18,640
NJ21$43,297
NV2$23,368
OH10$77.6
PA34$10,293
SC2—
TN3$16,591
TX26$28,276
WA7$55,398
WV2$29,670

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
OSF St Joseph Medical Center——$40.6
St Joseph Medical CenterBLOOMINGTONIL$40.6
Aultman Hospital——$50
UChicago Crown Point——$50
Uh Geauga Medical CenterCHARDONOH$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$50.67
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Spartanburg Hospital for Restorative Care——$57.1
Union Medical Center——$57.1
Pelham Medical Center——$61.05
Osf Saint Clare Medical CenterPRINCETONIL$64.7
OSF Saint Clare Medical Center——$64.7
WALKER BAPTIST MEDICAL CENTERJASPERAL$65
University of Chicago Medical Center——$65
OSF St Mary Medical Center——$65
The University Of Chicago Medical CenterCHICAGOIL$65
Providence Alaska Medical Center——$67
Providence Seward Medical CenterSEWARDAK$67
Providence St. Jude Medical CenterFULLERTONCA$67
Providence Alaska Medical CenterANCHORAGEAK$67