CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Waldron

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,014

about 1.1× the $14,117 Medicare rate · typically $8,737–$21,927

modeled estimate · not a bill or quote

What this hospital charges insurers

$9,142

Below the fair price — a good deal

about $6,872 under the fair price · 0.6× Medicare

Medicare pays $14,117 Fair price $16,014 This hospital $9,142 Cash price $15,455 Hospital's list price $23,777

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

One of the lower prices — 6 of 8 other AR hospitals charge more for the same procedure.

Cheapest $7,185 Priciest $14,063

Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $16,014 (about 1.1× the $14,117 Medicare rate). Mercy Hospital Waldron charges insurers about $9,142, or about $15,455 in cash — below the fair price — a good deal. Located in Waldron, AR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$2,268	16%
Blue Cross Blue Shieldmajor	$2,268 - $3,927	16%
Aetnamajor	$2,268 - $9,142	16%
Cignamajor	$2,381	17%
Humanamajor	$2,268 - $9,142	16%
Ambetter (Centene)	$2,775	20%
Independent Health	$2,268	16%
+ 26 smaller / regional plans	$1,602 - $25,117

Government programs also on file: Medicare, Medicaid.

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 (about 15,455), 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: 871.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Waldron is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
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 Mercy Hospital Waldron

Compare: Sepsis treatment (inpatient stay) at other AR hospitals

Mercy Hospital Berryville · Berryville $7,185
Mercy Hospital Booneville · Booneville $9,142
Ouachita County Medical Center · Camden $12,497
Mercy Hospital Ozark · Ozark $13,131
Baxter Health · Mountain Home $13,522
National Park Medical Center · Hot Springs $13,527
Arkansas Heart Hospital, LLC · Little Rock $13,893
Conway Regional Medical Center, Inc · Conway $14,063

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