CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Madison Health

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,885
about 1.1× the $14,117 Medicare rate · typically $14,487–$33,655
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,241
About the fair price
about $356 over the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $15,885 This hospital $16,241

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 $16,241

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 $15,885 (about 1.1× the $14,117 Medicare rate). Madison Health charges insurers about $16,241 — about the fair price. Located in London, OH.

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✓ Humana CignaKaiser 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 $15,923 113%
Blue Cross Blue Shieldmajor $15,923 113%
Aetnamajor $15,923 113%
Humanamajor $15,923 113%
Ambetter (Centene) $24,680 175%
CareSource $16,241 - $25,476 115%
Medical Mutual $16,241 115%
Molina $16,400 - $24,839 116%
+ 2 smaller / regional plans $15,923

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Facility Profile & Credentials

  • Address: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals