CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,409

about 1.3× the $14,117 Medicare rate · typically $15,222–$20,938

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,231

About the fair price

about $822 over the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $18,409 This hospital $19,231

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 $19,231

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 $18,409 (about 1.3× the $14,117 Medicare rate). SSM Health St Anthony Hospital - Shawnee charges insurers about $19,231 — about the fair price. Located in Shawnee, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$15,384 - $15,611	109%
Blue Cross Blue Shieldmajor	$15,384 - $34,772	109%
Humanamajor	$15,645	111%
Ambetter (Centene)	$20,768	147%
Healthcare Highways	$19,231 - $20,768	136%
Medica	$22,119	157%
Oscar Health	$19,234	136%
+ 4 smaller / regional plans	$15,384 - $29,998

Excludes 1 rental-network / third-party entry (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, 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 SSM Health St Anthony Hospital - Shawnee 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 SSM Health St Anthony Hospital - Shawnee

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.