CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Providence St. Jude Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,364
about 1.6× the $14,117 Medicare rate · typically $19,209–$29,287
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,196
Below the fair price — a good deal
about $3,168 under the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $22,364 This hospital $19,196

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 $19,196

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 $22,364 (about 1.6× the $14,117 Medicare rate). Providence St. Jude Medical Center charges insurers about $19,196 — below the fair price — a good deal. Located in Fullerton, CA.

What each insurance company pays

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

6 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 $19,196 - $45,623 136%
Blue Cross Blue Shieldmajor $19,196 - $38,875 136%
Aetnamajor $19,196 136%
Cignamajor $19,196 136%
Humanamajor $19,196 136%
Kaiser Permanentemajor $19,196 136%
Health Net $19,196 - $42,533 136%
Molina $19,196 136%
Providence Health Plan $19,196 136%
WellCare $19,196 136%
+ 11 smaller / regional plans $19,196 - $22,062

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Facility Profile & Credentials

  • Address: 101 E Valencia Mesa Drive, Fullerton, CA 92835
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals