CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercyone Newton Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,275
about 1.2× the $14,117 Medicare rate · typically $13,472–$20,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,618
About the fair price
about $1,343 over the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $16,275 This hospital $17,618 Cash price $36,964

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $13,069 Priciest $17,618

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

A fair price for a Sepsis treatment (inpatient stay) is about $16,275 (about 1.2× the $14,117 Medicare rate). Mercyone Newton Medical Center charges insurers about $17,618, or about $36,964 in cash — about the fair price. Located in Newton, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $13,325 94%
Blue Cross Blue Shieldmajor $13,195 93%
Aetnamajor $13,064 93%
Ambetter (Centene) $22,395 159%
Oscar Health $17,506 124%
+ 5 smaller / regional plans $13,975 - $26,795
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals