CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Honorhealth Four Peaks Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $18,165
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Honorhealth Four Peaks Medical Center is $18,165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 1301 South Crismon Road, Mesa, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,165

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%)
Insurance Median: $18,165 (129%)
Ins. Median: $18,165 (129% 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.

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $18,165 - $36,451 129%
Allwell $18,165 129%
Az Health Advantage $18,165 129%
Azpc $18,165 129%
Banner $18,165 129%
Banner University Health Plan $18,165 129%
Blue Cross Blue Shield $18,165 - $33,426 129%
Cigna $18,165 - $31,758 129%
Devoted Health $18,165 129%
Gold Kidney Of Arizona $18,165 129%
Health Choice $18,165 - $27,611 129%
Humana $18,165 - $27,411 129%
Mercy Care Plan $18,165 129%
Molina $18,165 129%
Scan Desert Health Plan $18,165 129%
Triwest $18,165 129%
Wellcare $18,165 129%
Oscar Health Plan $18,232 129%
UnitedHealthcare $18,347 - $32,333 130%
Ambetter / Centene $25,431 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 South Crismon Road, Mesa, AZ 85209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals