CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mount Carmel St Ann's

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,953
about 1.3× the $14,117 Medicare rate · typically $14,919–$39,476
modeled estimate · not a bill or quote
What this hospital charges insurers
$40,658
Well above the fair price
about $22,705 over the fair price · 2.9× Medicare
Medicare pays $14,117 Fair price $17,953 This hospital $40,658 Cash price $47,367

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $8,741 Priciest $40,658

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

A fair price for a Sepsis treatment (inpatient stay) is about $17,953 (about 1.3× the $14,117 Medicare rate). Mount Carmel St Ann's charges insurers about $40,658, or about $47,367 in cash — well above the fair price. Located in Westerville, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,953. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Cigna HumanaKaiser 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 $14,818 - $40,927 105%
Blue Cross Blue Shieldmajor $14,527 - $52,053 103%
Aetnamajor $14,527 - $40,340 103%
Cignamajor $40,658 288%
GEHA $40,927 290%
HealthPartners $40,658 288%
Medical Mutual $31,653 - $45,831 224%
MVP Health Care $40,658 288%
Oscar Health $21,933 155%
Priority Health $40,658 288%
+ 10 smaller / regional plans $15,120 - $52,053
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.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals