CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Carthage

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,562

about 1.0× the $14,117 Medicare rate · typically $8,872–$17,972

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,418

About the fair price

about $1,144 under the fair price · 0.9× Medicare

Medicare pays $14,117 Fair price $13,562 This hospital $12,418 Cash price $17,392 Hospital's list price $26,757

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

On the higher side — 6 of 8 other MO hospitals charge less.

Cheapest $8,760 Priciest $14,175

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

A fair price for a Sepsis treatment (inpatient stay) is about $13,562 (about 1.0× the $14,117 Medicare rate). Mercy Hospital Carthage charges insurers about $12,418, or about $17,392 in cash — about the fair price. Located in Carthage, MO.

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	$1,835 - $10,235	13%
Blue Cross Blue Shieldmajor	$2,245 - $20,967	16%
Aetnamajor	$2,245 - $9,805	16%
Cignamajor	$2,245	16%
Humanamajor	$2,245 - $11,764	16%
Ambetter (Centene)	$5,737	41%
+ 23 smaller / regional plans	$2,245 - $25,117

Government programs also on file: Medicare, Medicaid.

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 17,392), 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 Hospital Carthage 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 Hospital Carthage

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
University Health Lakewood Medical Center · Kansas City $12,558
St Mary's Medical Center · Blue Springs $14,175

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