CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Huntington Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $28,014
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Huntington Hospital is $28,014. 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 1.98x the Medicare baseline. Located in 100 W California Blvd, Pasadena, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$28,014

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: $28,014 (198%)
Ins. Median: $28,014 (198% 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $19,659 139%
Avanti Hospitals, Llc $19,659 139%
California Physiciansæ Service, Dba Blue Shield Of California $19,659 - $32,004 139%
Dignity Health $19,659 139%
Heritage Provider Network $19,659 - $29,488 139%
Humana $19,659 139%
Inter Valley Health Plan $19,659 139%
Kaiser Foundation Hospitals On Behalf Of Its Southern California Region $19,659 - $54,061 139%
Pacific Pace, Llc And Pasadena Hospital Association, Ltd $19,659 139%
Prospect Health Plan, Inc. $19,659 - $32,437 139%
UnitedHealthcare $19,659 - $28,323 139%
Universal Care, Inc. D/B/A Brand New Day $19,659 - $29,488 139%
Health Net Of California, Inc. $21,526 - $49,540 152%
Blue Cross Blue Shield $23,775 - $32,449 168%
L.A. Care Health Plan $25,556 181%
Providence St. Joseph Health Network $36,369 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 W California Blvd, Pasadena, CA 91109
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals