CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,314

about 1.4× the $14,117 Medicare rate · typically $14,909–$22,444

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,556

Below the fair price — a good deal

about $4,758 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $19,314 This hospital $14,556 Cash price $36,734 Hospital's list price $56,514

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $8,475 Priciest $14,556

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

A fair price for a Sepsis treatment (inpatient stay) is about $19,314 (about 1.4× the $14,117 Medicare rate). Mercy Hospital Oklahoma City, Inc charges insurers about $14,556, or about $36,734 in cash — below the fair price — a good deal. Located in Oklahoma City, OK.

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	$14,280 - $26,540	101%
Blue Cross Blue Shieldmajor	$14,280 - $38,779	101%
Aetnamajor	$5,570 - $29,833	39%
Cignamajor	$3,838 - $14,556	27%
Humanamajor	$7,621 - $16,462	54%
Ambetter (Centene)	$18,923	134%
Medica	$14,755	105%
+ 23 smaller / regional plans	$10,936 - $32,130

Government programs also on file: Medicare, Medicaid, Military & VA.

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 (about 36,734), 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 Hospital Oklahoma City, Inc 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 Hospital Oklahoma City, Inc

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

Wagoner Community Hospital · Wagoner $8,475
Alliancehealth Madill · Madill $9,142
Mercy Hospital Watonga, Inc · Watonga $10,678
Mercy Hospital Tishomingo Inc · Tishomingo $10,678
Mercy Hospital Kingfisher, Inc · Kingfisher $10,678
Mercy Hospital Logan County · Guthrie $10,783
Ascension St John Broken Arrow · Broken Arrow $11,017
Ascension St John Sapulpa · Sapulpa $11,017

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