CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Merit Health Central

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,020

about 1.3× the $14,117 Medicare rate · typically $15,061–$24,833

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,505

About the fair price

about $2,485 over the fair price · 1.5× Medicare

Medicare pays $14,117 Fair price $18,020 This hospital $20,505

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 $20,505

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 $18,020 (about 1.3× the $14,117 Medicare rate). Merit Health Central charges insurers about $20,505 — about the fair price. Located in Jackson, MS.

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	$5,247 - $20,479	37%
Blue Cross Blue Shieldmajor	$16,760	119%
Aetnamajor	$20,706	147%
Cignamajor	$15,618 - $20,505	111%
Humanamajor	$20,104	142%
Devoted Health	$20,505	145%
Molina	$20,505 - $20,621	145%
WellCare	$20,889	148%
+ 16 smaller / regional plans	$1,761 - $40,958

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (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, 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 Merit Health Central 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 Merit Health Central

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

Wayne General Hospital · Waynesboro $12,357
Singing River Gulfport · Gulfport $14,269
King's Daughters Medical Center-Brookhaven · Brookhaven $14,293
Merit Health River Region · Vicksburg $14,311
Singing River Health System · Pascagoula $14,482
Memorial Hospital Biloxi · Biloxi $14,775
South Sunflower County Hospital · Indianola $15,151
Ochsner Rush Hospital · Meridian $15,229

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