CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Gilbert Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,479

about 1.5× the $14,117 Medicare rate · typically $17,186–$30,101

modeled estimate · not a bill or quote

What this hospital charges insurers

$29,222

Above the fair price

about $7,743 over the fair price · 2.1× Medicare

Medicare pays $14,117 Fair price $21,479 This hospital $29,222

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $9,317 Priciest $29,222

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

A fair price for a Sepsis treatment (inpatient stay) is about $21,479 (about 1.5× the $14,117 Medicare rate). Mercy Gilbert Medical Center charges insurers about $29,222 — above the fair price. Located in Gilbert, AZ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21,479. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$12,736 - $42,888	90%
Blue Cross Blue Shieldmajor	$15,266 - $54,163	108%
Aetnamajor	$15,266 - $36,729	108%
Cignamajor	$15,266 - $41,157	108%
Humanamajor	$15,266	108%
+ 4 smaller / regional plans	$15,266 - $30,169

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 871.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Gilbert Medical Center 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 Gilbert Medical Center

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

Northern Cochise Community Hospital, Inc. · Willcox $9,317
Yavapai Regional Medical Center · Prescott $14,730
Havasu Regional Medical Center · Lake Havasu City $15,280
Valley View Medical Center · Fort Mohave $15,342
Honorhealth Scottsdale Shea Medical Center · Scottsdale $15,450
Banner Heart Hospital · Mesa $15,663
Honorhealth Deer Valley Medical Center · Phoenix $15,806
Honorhealth Sonoran Crossing Medical Center · Phoenix $15,944

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