CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy St Francis Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$14,049

about 1.0× the $14,117 Medicare rate · typically $8,040–$25,258

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $14,049 Cash price $14,015 Hospital's list price $21,562

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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	$5,653 - $45,305	40%
Aetnamajor	$6,554 - $6,760	46%
Cignamajor	$6,554 - $6,760	46%
Humanamajor	$6,554 - $6,760	46%
Ambetter (Centene)	$5,237	37%
+ 24 smaller / regional plans	$4,742 - $11,430

Government programs also on file: Medicare, Medicaid.

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 14,015), 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 Mercy St Francis 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 Mercy St Francis Hospital

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

The Children's Mercy Hospital · Kansas City $8,760
Mosaic Life Care at St Joseph · Saint Joseph $8,876
Long Term Acute Care Hospital Mosaic Life Care at St Joseph · Saint Joseph $8,876
Cass Regional Medical Center · Harrisonville $9,859
Mercy Hospital Aurora · Aurora $11,600
Mercy Hospital - Cassville · Cassville $11,600
Mercy Hospital Carthage · Carthage $12,418
University Health Lakewood Medical Center · Kansas City $12,558

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