CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Health Saint Mary's

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,008
about 1.3× the $14,117 Medicare rate · typically $15,145–$31,247
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,009
Above the fair price
about $13,001 over the fair price · 2.3× Medicare
Medicare pays $14,117 Fair price $19,008 This hospital $32,009 Cash price $25,158

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $10,917 Priciest $32,009

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

A fair price for a Sepsis treatment (inpatient stay) is about $19,008 (about 1.3× the $14,117 Medicare rate). Mercy Health Saint Mary's charges insurers about $32,009, or about $25,158 in cash — above the fair price. Located in Grand Rapids, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,008. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente CignaHumana

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 $16,163 114%
Blue Cross Blue Shieldmajor $15,378 - $37,407 109%
Aetnamajor $15,378 - $32,009 109%
Kaiser Permanentemajor $37,407 265%
CareSource $22,071 156%
GEHA $32,009 227%
Medical Mutual $32,009 227%
Molina $20,400 145%
Oscar Health $17,943 127%
Priority Health $30,365 - $30,416 215%
+ 12 smaller / regional plans $2,000 - $37,407
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals