CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Health Kings Mills Hospital LLC

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,456

about 1.3× the $14,117 Medicare rate · typically $15,157–$26,987

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,121

About the fair price

about $2,665 over the fair price · 1.5× Medicare

Medicare pays $14,117 Fair price $18,456 This hospital $21,121

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 $21,121

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 $18,456 (about 1.3× the $14,117 Medicare rate). Mercy Health Kings Mills Hospital LLC charges insurers about $21,121 — about the fair price. Located in Mason, OH.

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	$13,430 - $36,836	95%
Blue Cross Blue Shieldmajor	$15,520 - $29,005	110%
Aetnamajor	$38,056	270%
Cignamajor	$28,741	204%
Humanamajor	$13,496	96%
CareSource	$13,766 - $19,569	98%
Devoted Health	$13,496	96%
Medical Mutual	$35,657	253%
Paramount	$13,496	96%
+ 3 smaller / regional plans	$13,496 - $20,918

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 Kings Mills Hospital LLC 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 Kings Mills Hospital LLC

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.