CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC Mercy

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,554
about 1.2× the $14,117 Medicare rate · typically $14,685–$21,343
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,896
Above the fair price
about $3,342 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $16,554 This hospital $19,896

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $12,085 Priciest $19,896

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

A fair price for a Sepsis treatment (inpatient stay) is about $16,554 (about 1.2× the $14,117 Medicare rate). UPMC Mercy charges insurers about $19,896 — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,554. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $18,254 - $39,364 129%
Aetnamajor $19,166 - $20,079 136%
AmeriHealth $19,714 140%
UPMC Health Plan $18,679 - $21,539 132%
+ 2 smaller / regional plans $18,254 - $19,714

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1400 Locust Street, Pittsburgh, PA 15219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals