CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Providence Mission Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,155

about 1.6× the $14,117 Medicare rate · typically $18,698–$29,687

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,052

Below the fair price — a good deal

about $3,103 under the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $22,155 This hospital $19,052

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 $19,052

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 $22,155 (about 1.6× the $14,117 Medicare rate). Providence Mission Hospital charges insurers about $19,052 — below the fair price — a good deal. Located in Mission Viejo, 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	$19,052 - $47,032	135%
Blue Cross Blue Shieldmajor	$19,052 - $33,839	135%
Aetnamajor	$19,052	135%
Cignamajor	$19,052	135%
Humanamajor	$19,052	135%
Kaiser Permanentemajor	$19,052	135%
Health Net	$19,052 - $45,368	135%
Molina	$19,052	135%
Providence Health Plan	$19,052	135%
WellCare	$19,052	135%
+ 10 smaller / regional plans	$19,052 - $21,556

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Providence Mission Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Providence Mission Hospital

Compare: Sepsis treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $12,833
Salinas Valley Memorial Hospital · Salinas $17,413
Adventist Health Tehachapi Valley · Tehachapi $18,297
Good Samaritan Hospital, LP · Bakersfield $18,325
San Dimas Community Hospital · San Dimas $18,439
French Hospital Medical Center · San Luis Obispo $18,440
Casa Colina Hospital · Pomona $18,457
Oak Valley Hospital District · Oakdale $18,577

Insurance negotiated median for the same procedure, sorted lowest first.