CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,025

about 1.3× the $14,117 Medicare rate · typically $15,319–$21,484

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,048

About the fair price

about $23 over the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $18,025 This hospital $18,048

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 $18,048

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 $18,025 (about 1.3× the $14,117 Medicare rate). Munson Healthcare Otsego Memorial Hospital charges insurers about $18,048 — about the fair price. Located in Gaylord, MI.

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	$18,048	128%
Blue Cross Blue Shieldmajor	$18,048	128%
Aetnamajor	$18,228	129%
Cignamajor	$23,440	166%
Humanamajor	$18,048	128%
Molina	$19,492	138%
Priority Health	$18,048 - $23,440	128%
+ 5 smaller / regional plans	$18,048 - $30,681

Government programs also on file: Medicare.

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 Munson Healthcare Otsego Memorial 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 Munson Healthcare Otsego Memorial Hospital

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

Trinity Health Grand Haven Hospital · Grand Haven $10,917
Ascension River District Hospital · East China $12,337
Corewell Health Watervliet Hospital · Watervliet $13,927
Henry Ford Health West Bloomfield Hospital · W Bloomfield $14,065
Henry Ford Macomb Hospital · Clinton Township $14,203
Wyandotte Hospital and Medical Center · Wyandotte $14,495
Henry Ford Allegiance Health · Jackson $14,571
Henry Ford Health Warren Hospital · Warren $14,739

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