CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Paradise Valley Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,866
about 1.5× the $14,117 Medicare rate · typically $18,155–$21,293
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,868
About the fair price
about $998 under the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $20,866 This hospital $19,868 Cash price $19,768

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $12,833 Priciest $19,868

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

A fair price for a Sepsis treatment (inpatient stay) is about $20,866 (about 1.5× the $14,117 Medicare rate). Paradise Valley Hospital charges insurers about $19,868, or about $19,768 in cash — about the fair price. Located in National City, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $19,769 140%
Blue Cross Blue Shieldmajor $19,769 140%
Aetnamajor $34,979 248%
Health Net $19,769 - $35,821 140%
Molina $19,769 140%
+ 18 smaller / regional plans $19,769 - $36,061
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals