CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Health - Defiance Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,845

about 1.1× the $14,117 Medicare rate · typically $13,867–$18,754

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,880

Below the fair price — a good deal

about $1,965 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $15,845 This hospital $13,880

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 $13,880

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 $15,845 (about 1.1× the $14,117 Medicare rate). Mercy Health - Defiance Hospital charges insurers about $13,880 — below the fair price — a good deal. Located in Defiance, 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	$13,880 - $25,252	98%
Blue Cross Blue Shieldmajor	$13,880 - $33,199	98%
Aetnamajor	$13,880	98%
Humanamajor	$13,880	98%
CareSource	$14,158 - $20,126	100%
Devoted Health	$14,019	99%
Molina	$14,574 - $24,290	103%
Paramount	$13,880	98%
+ 3 smaller / regional plans	$13,880 - $21,514

Government programs also on file: Medicare.

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 Mercy Health - Defiance Hospital 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 Mercy Health - Defiance Hospital

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

Fulton County Health Center · Wauseon $8,741
Blanchard Valley Hospital · Findlay $8,788
Bluffton Hospital · Bluffton $8,788
Christ Hospital · Cincinnati $12,716
Cincinnati Children's Hospital Medical Center · Cincinnati $12,716
Medina Hospital · Medina $13,105
Cleveland Clinic Avon Hospital · Avon $13,340
Bellevue Hospital · Bellevue $13,355

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