CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Desert Valley Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $19,634
Cash Discount Price: $19,633
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Desert Valley Hospital is $19,634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,633. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.39x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.

Cash / Self-Pay

$19,633

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,634

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%)

Cash / Self-Pay: $19,633 (139%)

Insurance Median: $19,634 (139%)

Cash: $19,633 (139% of Medicare)

Ins. Median: $19,634 (139% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield Of Ca	$18,659 - $21,315	132%
Aetna	$18,848 - $30,516	134%
Alignment	$18,848	134%
Blue Cross Blue Shield	$18,848	134%
Blue Shield Of Promise	$18,848	134%
Choice Physicians Network	$18,848	134%
Elite Health Plan	$18,848	134%
Epic Health Plan	$18,848 - $27,487	134%
Health Net Of Ca	$18,848 - $36,283	134%
Heritage Victor Valley Medical Group	$18,848 - $25,524	134%
High Desert Pace	$18,848	134%
High Desert Primary Care	$18,848 - $31,414	134%
Inland Empire Health Plan	$18,848 - $24,542	134%
Medicare (plans)	$18,848 - $19,634	134%
Molina	$18,848 - $19,634	134%
Renal Payor Solutions	$18,848	134%
The Geo Group Inc	$18,848	134%
UnitedHealthcare	$18,848	134%
Vantage Care	$18,848	134%
Brand New Day	$19,036	135%
Inland Empire Foundation For Medical Care	$19,634	139%
Tricare	$19,634 - $20,079	139%
Imperial Health Plan Of Ca	$19,978	142%
Employer Direct Healthcare	$25,524	181%
Wellpath	$26,010	184%
Naphcare	$27,487	195%
National Healthcare Solutions, Inc (Nhsi)	$31,414	223%
Workers Compensation	$31,460	223%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $19,633.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Desert Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.