CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Lake Martin Community Hospital
Billing Code: 871 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$16,835
about 1.2× the $14,117 Medicare rate · typically $12,042–$23,127
modeled estimate · not a bill or quote
Medicare pays $14,117 Fair price $16,835 Cash price $3,390 Hospital's list price $4,521
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✓ Humana UnitedHealthcareAetnaCignaKaiser 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 | $2,437 | 17% |
| Humanamajor | $6,500 | 46% |
| + 1 smaller / regional plan | $2,100 |
Government programs also on file: Medicare.
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Other Procedures at Lake Martin Community Hospital
Compare: Sepsis treatment (inpatient stay) at other AL hospitals
- Springhill Medical Center · Mobile $8,139
- Grandview Medical Center · Birmingham $12,920
- Crestwood Medical Center · Huntsville $12,928
- North Alabama Medical Center · Florence $12,980
- Riverview Regional Medical Center · Gadsden $13,083
- Medical Center Enterprise · Enterprise $13,312
- Northeast Alabama Regional Medical Center · Anniston $13,685
- Hill Hospital of Sumter County · York $13,760
Insurance negotiated median for the same procedure, sorted lowest first.