CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Merit Health River Oaks

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,872

about 1.3× the $14,117 Medicare rate · typically $15,041–$24,298

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,338

Below the fair price — a good deal

about $2,534 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $17,872 This hospital $15,338

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 $15,338

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 $17,872 (about 1.3× the $14,117 Medicare rate). Merit Health River Oaks charges insurers about $15,338 — below the fair price — a good deal. Located in Flowood, 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	$4,833 - $13,690	34%
Blue Cross Blue Shieldmajor	$16,760	119%
Aetnamajor	$1,711 - $13,853	12%
Cignamajor	$15,618	111%
Humanamajor	$13,451	95%
Devoted Health	$13,719	97%
Molina	$13,719 - $20,704	97%
WellCare	$13,964	99%
+ 15 smaller / regional plans	$1,761 - $27,380

Government programs also on file: Medicare.

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 River Oaks 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 River Oaks

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.