CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Mary Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,726

about 1.1× the $14,117 Medicare rate · typically $15,413–$19,397

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,461

About the fair price

about $265 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $15,726 This hospital $15,461

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $12,312 Priciest $15,461

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

A fair price for a Sepsis treatment (inpatient stay) is about $15,726 (about 1.1× the $14,117 Medicare rate). St Mary Medical Center charges insurers about $15,461 — about the fair price. Located in Galesburg, IL.

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	$15,309 - $26,917	108%
Blue Cross Blue Shieldmajor	$15,460 - $27,302	110%
Aetnamajor	$15,309 - $22,096	108%
Cignamajor	$32,888	233%
Humanamajor	$15,157	107%
Meridian	$15,157	107%
Molina	$15,157	107%
WellCare	$15,309	108%
+ 1 smaller / regional plan	$30,701

Government programs also on file: Military & VA.

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 St Mary 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 St Mary Medical Center

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

Blessing Hospital · Quincy $12,312
Northwestern Lake Forest Hospital · Lake Forest $12,977
Alexian Brothers Medical Center 1 · Elk Grove Village $13,175
St Alexius Medical Center · Hoffman Estates $13,403
University of Illinois Hospital and Clinics · Chicago $13,619
Northwestern Medicine Delnor Community Hospital · Geneva $14,417
Edward Hospital · Naperville $14,869
Northwest Community Hospital 1 · Arlington Heights $14,881

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