CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Ardmore, Inc

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,530

about 1.1× the $14,117 Medicare rate · typically $14,682–$21,606

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,680

About the fair price

about $850 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $15,530 This hospital $14,680 Cash price $25,954 Hospital's list price $39,930

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 $14,680

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 $15,530 (about 1.1× the $14,117 Medicare rate). Mercy Hospital Ardmore, Inc charges insurers about $14,680, or about $25,954 in cash — about the fair price. Located in Ardmore, 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	$4,068 - $14,964	29%
Blue Cross Blue Shieldmajor	$14,680 - $47,678	104%
Aetnamajor	$8,111 - $14,680	57%
Cignamajor	$3,242 - $15,129	23%
Humanamajor	$8,111 - $18,145	57%
Ambetter (Centene)	$19,454	138%
Independent Health	$14,680	104%
Medica	$19,920	141%
+ 24 smaller / regional plans	$11,620 - $33,031

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 25,954), 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 Ardmore, 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 Ardmore, 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.