Sepsis treatment (inpatient stay)
Facility: Redlands Community Hospital
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $19,937
- Cash Discount Price: $35,396
- vs. Medicare Baseline: 1.41x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Holman-All Plans | $5,298 | 38% |
| Cigna | $7,332 - $35,925 | 52% |
| Health Net Healthy Families | $10,176 | 72% |
| Health Net Healthy Kids | $10,176 | 72% |
| Molina Medi-Cal | $11,047 | 78% |
| Iehp Healthy Family And Kids | $11,386 | 81% |
| Iehp - All Other Plans | $12,852 | 91% |
| Pacificare (Rmg) - All Other Plans | $13,559 | 96% |
| Pacificare Bmg/Rymg Groups Only | $14,802 | 105% |
| Kaiser Medi-Cal | $15,955 | 113% |
| Alinment Health Plan Mcr Adv-All Plans | $18,770 | 133% |
| Epic Health Plan Senior | $18,770 | 133% |
| Iehp Health Access Senior | $18,770 | 133% |
| Iehp Mcr Adv | $18,770 | 133% |
| Kaiser Senior | $18,770 | 133% |
| Tricare | $18,770 | 133% |
| UnitedHealthcare | $18,770 - $30,502 | 133% |
| Aetna | $18,771 | 133% |
| Medicare (plans) | $18,958 | 134% |
| Health Net Mcr Adv | $19,333 | 137% |
| Caremore Mcr Adv-All Plans | $19,709 | 140% |
| Universal Care-All Plans | $19,709 | 140% |
| Blue Cross Blue Shield | $20,165 | 143% |
| Llumc Sr | $20,835 | 148% |
| Medi-Cal | $21,016 | 149% |
| Central Health Plan Sr-All Plans | $22,524 | 160% |
| Dsh - All Plans | $24,401 | 173% |
| Epic Health Plan-All Other Plans | $24,401 | 173% |
| Patton Dsh Mcr Adv-All Plans | $24,401 | 173% |
| Llumc-All Other Plans | $26,278 | 186% |
| Heritage/Regal Med Grp-All Other Plans | $26,904 | 191% |
| Blue Shield Ppo/Epo/Hmo - All Other Plans | $27,123 | 192% |
| Health Net-All Other Plans | $28,520 | 202% |
| Heritage/Regal Med Grp Sr | $31,004 | 220% |
| Blue Shield Mcare | $37,323 | 264% |
| Kaiser Comm-All Other Plans | $51,618 | 366% |
| Coventry-All Plans | $60,847 | 431% |
| Mhn-All Plans | $73,741 | 522% |
| Interplan - All Plans | $83,185 | 589% |
| Multiplan Kaiser | $106,188 | 752% |
| Choicecare-All Plans | $125,360 | 888% |
| Beech Street-All Plans | $132,735 | 940% |