CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Merit Health Madison

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,330
about 1.3× the $14,117 Medicare rate · typically $14,907–$26,929
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,396
About the fair price
about $2,066 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $18,330 This hospital $20,396 Cash price $20,257 Hospital's list price $50,643

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $12,357 Priciest $20,396

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

A fair price for a Sepsis treatment (inpatient stay) is about $18,330 (about 1.3× the $14,117 Medicare rate). Merit Health Madison charges insurers about $20,396, or about $20,257 in cash — about the fair price. Located in Canton, MS.

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✓ Cigna✓ Humana AetnaKaiser 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 $26,884 - $32,615 190%
Blue Cross Blue Shieldmajor $19,721 140%
Cignamajor $20,396 144%
Humanamajor $17,397 123%
Ambetter (Centene) $26,806 190%
Devoted Health $17,564 124%
Molina $28,166 200%
WellCare $17,230 122%
+ 2 smaller / regional plans $19,425 - $20,396
Government programs also on file: Medicare.

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: 161 River Oaks Drive, Canton, MS 39046
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals