▸ Procedure · surgery · MS-DRG 247

PCI w drug-eluting stent w/o MCC

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

Hospitals
517
Rate rows
3,954
Neg. median
$18,277
Neg. min
$18.5
Neg. max
$135,860
Cash median
$25,606

Across 517 US hospitals publishing MRFs, the negotiated rate for PCI w drug-eluting stent w/o MCC ranges from $18.5 to $135,860, with a median of $18,277. Half of all rates fall between $3,958 and $35,431. Cash-pay patients typically pay $25,606; hospital list (gross) prices median $25,606.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield236604$24,411
Aetna140212$15,501
Cigna135182$22,117
UnitedHealthcare119321$40,411
Humana74101$16,592
Multiplan6060$93.5
upmc work partners5254$9,495.41
amerihealth4989$37,703
Medicare4385$15,735
Anthem BCBS3766$23,914
first choice3344$41,110
First Health2828$92.5
Kaiser Permanente2628$18,237
qualcare inc2352$6,966
medical mutual2260$43.6
phcs2121$75.7
Health Net1831$48,525
providence health plan1818$34,531
Centene1721$10,628
iamolina1616$10,837
amerigroup1622$10,628
geisinger health plan1515$63,971
osfdan1313$80
Ambetter1313$91.21
quiktrip1212$60
healthlink1214$30,924
contracted commercial1138$85
ibc1131$41,375
geisinger1111$74,621
medica1136$95.75

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK5$81
AL8$19,034
AR4$12,285
AZ6$31,364
CA41$21,167
DE2$89
GA3$32,505
HI2$16,596
IA6$96
IL17$20,076
LA2$13,039
MA7$29,269
MN5$85
MO3$24,392
NC9$31,218
NJ21$22,997
NV2$15,427
NY2$17,942
OH12$90.19
PA35$10,293
SC5$6,296.43
TN3$10,639
TX26$18,623
WA7$35,149
WI5$4,371.98
WV4$14,393

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
St Joseph Medical CenterBLOOMINGTONIL$40.6
OSF St Joseph Medical Center——$40.6
Aultman Hospital——$50
UChicago Crown Point——$50
Uh Geauga Medical CenterCHARDONOH$50.67
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$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
OSF St Mary Medical Center——$65
The University Of Chicago Medical CenterCHICAGOIL$65
University of Chicago Medical Center——$65
Providence Alaska Medical Center——$67
Providence Seward Medical CenterSEWARDAK$67
Providence Alaska Medical CenterANCHORAGEAK$67
Providence St. Jude Medical CenterFULLERTONCA$67