MS-DRG 246–251

Heart stent (PCI)

Cath lab, a drug-eluting stent or two, a night of telemetry.

Your cash sticker$38,867
Typical commercial / insured$63,632
Medicare-like yardstick$20,010
Rack rate if you have no deal$89,085

Insured markup on this quote: $24,764 (64%) above cash. Quality score 70/100 at California Community Hospital (model). This episode is tagged modeled from anchors.

Full-service community hospital (model). The default local option.

Evidence on this page. Commercial prices vs Medicare, by state · Hospital wage index — see the evidence ledger. Hospitals are archetypes (academic / community / ASC), not named facilities. Coastal flagships: wage + bargaining power, not just ‘better care.’

Other shelves: Have a baby — vaginal birth · Have a baby — C-section · Knee replacement · Knee arthroscopy · Breast cancer chemo (adjuvant course) · Appendix out (laparoscopic) · Hip replacement · MRI of the knee · ER visit — moderate · Colonoscopy · One bag of saline

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