CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Grandview Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,376
about 1.1× the $14,117 Medicare rate · typically $14,102–$16,477
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,920
Below the fair price — a good deal
about $2,456 under the fair price · 0.9× Medicare
Medicare pays $14,117 Fair price $15,376 This hospital $12,920

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 7 of 8 other AL hospitals charge more for the same procedure.

Cheapest $8,139 Priciest $13,873

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

A fair price for a Sepsis treatment (inpatient stay) is about $15,376 (about 1.1× the $14,117 Medicare rate). Grandview Medical Center charges insurers about $12,920 — below the fair price — a good deal. Located in Birmingham, AL.

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 $3,135 - $13,836 22%
Blue Cross Blue Shieldmajor $3,352 24%
Aetnamajor $13,307 94%
Cignamajor $13,178 - $20,177 93%
Humanamajor $12,895 91%
Ambetter (Centene) $18,702 132%
Cigna HealthSpring $10,004 71%
Clover Health $13,838 98%
Devoted Health $13,730 97%
SelectHealth $13,049 92%
WellCare $13,385 95%
+ 10 smaller / regional plans $1,500 - $19,944
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals