CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Girard Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,975

about 1.1× the $14,117 Medicare rate · typically $7,852–$22,405

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $14,975 Cash price $5,483 Hospital's list price $9,138

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.

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	$7,191 - $8,681	51%
Blue Cross Blue Shieldmajor	$7,191 - $16,692	51%
Aetnamajor	$7,191 - $12,584	51%
Humanamajor	$7,191	51%
Ambetter (Centene)	$7,191	51%
+ 2 smaller / regional plans	$7,191 - $8,681

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 5,483), 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 Girard 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 Girard Medical Center

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.