CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Nemaha Valley Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$15,211

about 1.1× the $14,117 Medicare rate · typically $7,461–$22,892

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $15,211 Cash price $14,900 Hospital's list price $16,555

How we calculate the fair BaseRate →

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$17,657	125%
Aetnamajor	$12,330 - $14,072	87%
Humanamajor	$12,208	86%
HealthPartners	$15,727	111%
+ 2 smaller / regional plans	$13,429 - $14,800

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 (about 14,900), 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 Nemaha Valley Community Hospital 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 Nemaha Valley Community Hospital

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

Phillips County Hospital · Phillipsburg $7,438
Scott County Hospital · Scott City $7,943
William Newton Hospital · Winfield $7,943
Rehabilitation Hospital of Overland Park · Overland Park $8,544
Children's Mercy South · Overland Park $9,523
Hiawatha Community Hospital · Hiawatha $12,138
Kingman Healthcare Center · Kingman $12,182
McPherson Hospital · McPherson $12,418

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