CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Ada

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,018

about 1.1× the $14,117 Medicare rate · typically $14,398–$18,998

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,421

About the fair price

about $1,597 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $16,018 This hospital $14,421 Cash price $22,592 Hospital's list price $34,757

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 $14,421

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 $16,018 (about 1.1× the $14,117 Medicare rate). Mercy Hospital Ada charges insurers about $14,421, or about $22,592 in cash — about the fair price. Located in Ada, 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	$5,600 - $14,421	40%
Blue Cross Blue Shieldmajor	$14,421 - $14,862	102%
Aetnamajor	$8,111 - $14,421	57%
Cignamajor	$14,862	105%
Humanamajor	$8,111 - $14,701	57%
Ambetter (Centene)	$19,111	135%
Independent Health	$14,421	102%
Medica	$20,509	145%
+ 21 smaller / regional plans	$14,421 - $32,449

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

Excludes 2 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 22,592), 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 Ada 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 Ada

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.