CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 871 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 871
- Insurance Median: $20,322
- Cash Discount Price: $60,461
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $20,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60,461. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$60,461
Average discount available for prompt cash payment at this facility.
Insurance Median
$20,322
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: $60,461 (428%)
Insurance Median: $20,322 (144%)
Cash: $60,461 (428% of Medicare)
Ins. Median: $20,322 (144% 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
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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 |
|---|---|---|
| Community Care Ipa [1131] | $1,750 - $20,322 | 12% |
| California Health & Wellness Medi-Cal [1122] | $1,900 | 13% |
| Alternate Medi-Cal [2001] | $3,106 | 22% |
| Medi-Cal [1048] | $3,106 | 22% |
| Alternate Healthnet [1007] | $5,388 - $109,930 | 38% |
| Health Net [1039] | $5,388 - $109,930 | 38% |
| UnitedHealthcare | $5,719 - $109,930 | 41% |
| Blue Cross Blue Shield | $7,362 - $64,463 | 52% |
| Cigna | $9,735 - $60,681 | 69% |
| Aetna | $13,036 - $48,039 | 92% |
| Olympus Managed Healthcare Inc [1102] | $13,036 | 92% |
| Humana | $13,192 - $93,440 | 93% |
| Mc Blue Shield Generic Payor [164016] | $13,192 | 93% |
| Mc Blue Shield Hmo [164015] | $13,192 | 93% |
| Mc Brand New Day Generic Payor [164031] | $13,192 | 93% |
| Mc Brand New Day Hmo [164030] | $13,192 | 93% |
| Mc Healthnet Generic Payor [164010] | $13,192 | 93% |
| Mc Healthnet Hmo [164004] | $13,192 | 93% |
| Mc Hnet Blue&Gold Aco [164017] | $13,192 | 93% |
| Mc Scan Generic Payor [164034] | $13,192 | 93% |
| Mc Scan Hmo [164035] | $13,192 | 93% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $13,192 | 93% |
| Alternate Scan Health [2088] | $19,306 | 137% |
| Scan Health [1072] | $19,306 | 137% |
| Alternate Blue Shield [2002] | $19,915 - $109,930 | 141% |
| Blue Shield [1014] | $19,915 - $109,930 | 141% |
| Imperial County Med Grp [1044] | $19,915 - $20,322 | 141% |
| Fresenius [1034] | $20,272 | 144% |
| Inland Empire Health Plan [1121] | $20,272 - $20,322 | 144% |
| Molina [1055] | $20,272 - $20,322 | 144% |
| Unlisted Commercial Non-Contracted [1026] | $20,272 - $20,322 | 144% |
| Advantra Freedom [1002] | $20,322 | 144% |
| Affiliated Doctors Of Orange County [2041] | $20,322 | 144% |
| Alignment Health Plan [2020] | $20,322 - $24,645 | 144% |
| Alphacare [2062] | $20,322 | 144% |
| Alternate Brand New Day [2079] | $20,322 | 144% |
| Alternate Health Net Bh [2059] | $20,322 - $109,930 | 144% |
| Ama - American Medical Association [1009] | $20,322 | 144% |
| American Specialty Health Plan [2038] | $20,322 | 144% |
| Arch Health Partners [2000] | $20,322 | 144% |
| Astiva Health [2095] | $20,322 | 144% |
| Bankers Life [1011] | $20,322 | 144% |
| Beacon Health Strategy [2039] | $20,322 | 144% |
| Beaver Med Grp [2075] | $20,322 | 144% |
| Blue Shield Promise [1017] | $20,322 | 144% |
| Brand New Day [1089] | $20,322 | 144% |
| Caremore [2028] | $20,322 | 144% |
| Central Health Plan [2026] | $20,322 | 144% |
| Chesapeake Life [1021] | $20,322 | 144% |
| Christian Healthcare Ministries [2030] | $20,322 | 144% |
| Clever Care [2061] | $20,322 | 144% |
| Community Eldercare [1027] | $20,322 | 144% |
| Easy Access Care [2077] | $20,322 | 144% |
| Easy Choice [1029] | $20,322 | 144% |
| Empire Phys Med Grp [2072] | $20,322 | 144% |
| Encompass Med Grp [1030] | $20,322 | 144% |
| Golden Physicians Medical Group [2082] | $20,322 | 144% |
| Graybill Med Grp [1037] | $20,322 - $109,930 | 144% |
| Greater Newport Physicians [2096] | $20,322 | 144% |
| Health Care Support [2011] | $20,322 | 144% |
| Healthcare Partners [2073] | $20,322 | 144% |
| Hemet Community Med Grp - Promisecare [1040] | $20,322 | 144% |
| High Desert Medical Group [2053] | $20,322 | 144% |
| Hmsa - Hawaii Medical Service Assoc Mdcr [1041] | $20,322 | 144% |
| Imperial Health Holdings [1132] | $20,322 | 144% |
| Imperial Health Plan [2081] | $20,322 | 144% |
| Inland Empire Health Plan Transplant [1126] | $20,322 | 144% |
| Inland Faculty Medical Group [2063] | $20,322 | 144% |
| Integrated Health Partners [2068] | $20,322 | 144% |
| Inter Valley Health Plan [2024] | $20,322 | 144% |
| Kern Health Systems [2033] | $20,322 | 144% |
| Key Med Grp [2074] | $20,322 | 144% |
| La Care Health Plan [2025] | $20,322 | 144% |
| Lakeside Medical Group [2054] | $20,322 | 144% |
| Medcare Partners [2084] | $20,322 | 144% |
| Medicare (plans) | $20,322 - $24,364 | 144% |
| Menifee Med Grp [2076] | $20,322 | 144% |
| Mercy Physicians Med Grp [1052] | $20,322 | 144% |
| Monarch Healthcare [2006] | $20,322 | 144% |
| Mutual Of Omaha [1059] | $20,322 | 144% |
| Mvp Healthcare [1060] | $20,322 | 144% |
| Palomar Health [1128] | $20,322 - $24,386 | 144% |
| Premier Patient Care Ipa [2069] | $20,322 | 144% |
| Primary Care Associates Of Ca [2067] | $20,322 | 144% |
| Pyramid Life [1068] | $20,322 | 144% |
| Redlands Community Hospital [2005] | $20,322 | 144% |
| River City Medical Group [2066] | $20,322 | 144% |
| Riverside Medical Clinic [2064] | $20,322 | 144% |
| Scripps Clinic [1073] | $20,322 - $65,958 | 144% |
| Sdsm [2017] | $20,322 | 144% |
| Sharp Community Med Grp [1078] | $20,322 - $109,930 | 144% |
| Sharp Health Plan [1079] | $20,322 - $109,930 | 144% |
| Sharp Rees Stealy [1080] | $20,322 - $109,930 | 144% |
| Sierra Medical Group [2048] | $20,322 | 144% |
| Simnsa Health Plan [2047] | $20,322 | 144% |
| St Joseph St Jude [2065] | $20,322 | 144% |
| Sterling Option 1 [1083] | $20,322 | 144% |
| Transamerica [1084] | $20,322 | 144% |
| Tri-City Medical Center [1129] | $20,322 | 144% |
| Tri-City [1085] | $20,322 | 144% |
| United American [1087] | $20,322 | 144% |
| Unlisted Hospice [1035] | $20,322 | 144% |
| Us Marshal Services [1090] | $20,322 | 144% |
| Usaa [1091] | $20,322 | 144% |
| Vantage [1092] | $20,322 | 144% |
| Village Health [1094] | $20,322 | 144% |
| Well Care [1096] | $20,322 | 144% |
| Ximed [2016] | $20,322 | 144% |
| Community Health Group [1022] | $22,963 | 163% |
| Immigration Health Services [1043] | $24,364 | 173% |
| Trivalley Medical Group [2086] | $24,386 - $32,515 | 173% |
| Desert Oasis Health Care [2052] | $24,645 | 175% |
| Heritage Victor Valley Medical Group [2045] | $24,645 | 175% |
| Regal Mg 'Heritage Provider Network' [2019] | $24,645 | 175% |
| San Diego Pace [2046] | $24,645 - $24,861 | 175% |
| Alternate Va - Veterans Administration [1239] | $24,861 | 176% |
| Cal Optima [1016] | $24,861 | 176% |
| Champva [1020] | $24,861 | 176% |
| Global Excel [1036] | $24,861 | 176% |
| Pace [2044] | $24,861 | 176% |
| State Of California [1082] | $24,861 | 176% |
| Triwest Alternate [2036] | $24,861 | 176% |
| Triwest [2003] | $24,861 | 176% |
| Ucr Prompt Pay Payor [8240] | $24,861 | 176% |
| Va - Veterans Administration [1093] | $24,861 | 176% |
| Clippers Workers Compensation [2097] | $32,319 | 229% |
| Department Of Labor [1028] | $32,319 | 229% |
| San Diego Sockers [2015] | $32,319 | 229% |
| Sedgwick [1077] | $32,319 | 229% |
| Workers Compensation [1097] | $32,319 | 229% |
| Cmn - Canadian Medical Network [1024] | $42,264 | 299% |
| Usoc - Us Olympic Committee [1123] | $47,380 | 336% |
| Quality Health [1069] | $48,479 | 343% |
| Sd Physicians Med Grp [1076] | $60,461 | 428% |
| Scripps Health Plan Services [1075] | $65,958 | 467% |
| Admar [1001] | $71,454 | 506% |
| Alternate Sheriff Custody [1106] | $71,454 | 506% |
| Bps - Benefit Plan Services [1015] | $71,454 | 506% |
| Cassidy Med Grp [1019] | $71,454 | 506% |
| Ets - Lifetrac Network [1103] | $71,454 | 506% |
| Multiplan [1058] | $71,454 | 506% |
| Private Healthcare Systems [1067] | $71,454 - $109,930 | 506% |
| Scripps Coastal Med Grp [1074] | $71,454 | 506% |
| Kaiser [1046] | $73,653 | 522% |
| Axa Assistance [1098] | $74,752 | 530% |
| Embassy Sponsored [1101] | $74,752 - $76,951 | 530% |
| Interplan [1045] | $76,951 | 545% |
| Beech Street [1012] | $82,447 | 584% |
| First Health [1032] | $82,447 | 584% |
| Pacific Foundation [1063] | $82,447 | 584% |
| Carnival Cruises [1018] | $87,944 | 623% |
| National Healthcare Solutions Inc [1100] | $87,944 | 623% |
| Alternate Kaiser Rad Onc [2089] | $109,930 | 779% |
| Blue Shield Transplants [1113] | $109,930 | 779% |
| Healthnet Transplants [1114] | $109,930 | 779% |