CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Presence Mercy Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,178
about 1.3× the $14,117 Medicare rate · typically $15,076–$21,563
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,021
About the fair price
about $1,157 under the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $18,178 This hospital $17,021 Cash price $16,525

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 $17,021

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 $18,178 (about 1.3× the $14,117 Medicare rate). Presence Mercy Medical Center charges insurers about $17,021, or about $16,525 in cash — about the fair price. Located in Aurora, 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 $16,525 117%
Blue Cross Blue Shieldmajor $15,699 - $27,843 111%
Aetnamajor $16,525 - $41,801 117%
Cignamajor $16,525 - $16,716 117%
Humanamajor $16,525 - $18,178 117%
Ambetter (Centene) $26,771 190%
Devoted Health $16,525 117%
Health Net $19,830 140%
Meridian $17,352 123%
Molina $17,021 - $24,788 121%
WellCare $16,525 117%
+ 8 smaller / regional plans $16,525 - $25,614
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals