CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Centinela Hospital Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $24,171
Cash Discount Price: $20,223
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Centinela Hospital Medical Center is $24,171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,223. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.71x the Medicare baseline. Located in 555 East Hardy Street, Inglewood, CA.

Cash / Self-Pay

$20,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$24,171

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: $20,223 (143%)

Insurance Median: $24,171 (171%)

Cash: $20,223 (143% of Medicare)

Ins. Median: $24,171 (171% 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
Avanti Hospitals, Llc	$19,188	136%
Blue Shield Of Ca Triwest Healthcare Ccn	$19,188	136%
Health Net Of Ca	$19,188 - $36,646	136%
L.A Care Health Plan	$19,188 - $20,224	136%
Molina	$19,188 - $20,224	136%
Renal Payer Solutions	$19,188	136%
Welbe Health Pace	$19,188	136%
Brand New Day	$19,380	137%
Aids Healthcare Foundation	$19,572	139%
Medicare (plans)	$20,224	143%
Imperial Health Plan	$20,340	144%
Tricare	$20,748	147%
Keenan	$22,050	156%
Employer Direct Healthcare	$26,291	186%
Naphcare	$31,347	222%
National Healthcare Solutions	$32,358	229%
Corvel	$32,922	233%
Aetna	$33,615	238%
Americas Choice Provider Network	$33,615	238%
Multiplan	$33,615	238%
Occunet	$33,615	238%
Prime Health Services	$33,615	238%
Three Rivers Provider Network	$33,615	238%
Healthsmart Preferred Network	$33,961	241%
Provider Select	$34,308	243%
Provider Network Of America	$34,654	245%
Worker Compensation	$34,654	245%

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 $20,223.
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 Centinela Hospital Medical Center 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.