CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Memorialcare Saddleback Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,442
about 1.6× the $14,117 Medicare rate · typically $18,556–$29,079
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,081
Above the fair price
about $3,639 over the fair price · 1.8× Medicare
Medicare pays $14,117 Fair price $22,442 This hospital $26,081

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 $26,081

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 $22,442 (about 1.6× the $14,117 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $26,081 — above the fair price. Located in Laguna Hills, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,442. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

5 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 $18,125 - $67,028 128%
Blue Cross Blue Shieldmajor $17,762 - $48,147 126%
Aetnamajor $18,125 - $100,685 128%
Cignamajor $33,239 - $52,250 235%
Humanamajor $18,125 128%
Health Net $18,125 - $68,806 128%
SelectHealth $19,031 - $24,469 135%
+ 13 smaller / regional plans $16,856 - $40,781

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 24451 Health Center Drive, Laguna Hills, CA 92653
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals