CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,740
about 1.5× the $14,117 Medicare rate · typically $11,747–$26,779
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,312
About the fair price
about $428 under the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $20,740 This hospital $20,312 Cash price $22,399 Hospital's list price $22,399

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 $20,312

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 $20,740 (about 1.5× the $14,117 Medicare rate). St Anthony Regional Hospital & Nursing Home charges insurers about $20,312, or about $22,399 in cash — about the fair price. Located in Carroll, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $18,054 128%
Blue Cross Blue Shieldmajor $20,312 144%
Aetnamajor $17,919 - $20,159 127%
Humanamajor $19,039 135%
Molina $20,718 147%
+ 1 smaller / regional plan $20,312
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 311 South Clark Street, Carroll, IA 51401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals