CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Havasu Regional Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $15,280
  • Cash Discount Price: $66,571
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Havasu Regional Medical Center is $15,280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66,571. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 101 Civic Center Lane, Lake Havasu City, AZ.
Cash / Self-Pay
$66,571

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,280

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Cash / Self-Pay: $66,571 (472%)
Insurance Median: $15,280 (108%)
Cash: $66,571 (472% of Medicare)
Ins. Median: $15,280 (108% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $13,172 - $15,734 93%
Americhoice $15,128 107%
Health Choice $15,128 107%
Kaiser $15,128 107%
Medicare (plans) $15,128 107%
UnitedHealthcare $15,128 - $15,582 107%
Wellcare $15,128 107%
Aetna $15,280 108%
Humana $15,280 108%
Devoted Health $15,582 110%
Phoenix Health $15,582 110%
University Care $15,885 113%
Tricare $16,081 114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Civic Center Lane, Lake Havasu City, AZ 86403
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals