CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$14,609

about 1.0× the $14,117 Medicare rate · typically $9,761–$29,446

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,678

Below the fair price — a good deal

about $3,931 under the fair price · 0.8× Medicare

Medicare pays $14,117 Fair price $14,609 This hospital $10,678 Cash price $13,805 Hospital's list price $21,239

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 4 of 8 other OK hospitals charge more for the same procedure.

Cheapest $8,475 Priciest $11,896

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 $14,609 (about 1.0× the $14,117 Medicare rate). Mercy Hospital Tishomingo Inc charges insurers about $10,678, or about $13,805 in cash — below the fair price — a good deal. Located in Tishomingo, 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	$2,510	18%
Blue Cross Blue Shieldmajor	$2,171 - $32,652	15%
Aetnamajor	$2,510 - $9,142	18%
Cignamajor	$2,586	18%
Humanamajor	$2,510 - $9,142	18%
Ambetter (Centene)	$2,740	19%
Independent Health	$2,510	18%
Medica	$3,320	24%
+ 19 smaller / regional plans	$2,510 - $25,117

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

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 (about 13,805), 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 Tishomingo 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 Tishomingo 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 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
St John Owasso · Owasso $11,896

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