CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Chapman Global Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $18,625
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Chapman Global Medical Center is $18,625. 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 1.32x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,625

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: $18,625 (132%)
Ins. Median: $18,625 (132% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthcare Partners Hmo $2,375 17%
Health Net $2,700 - $45,967 19%
Scan/Altamed $2,800 20%
Heritage Provider Network $3,189 - $18,625 23%
Altamed $3,548 - $18,625 25%
Altamed Health Services $3,548 25%
Monarch Health Plan $3,610 26%
Cigna $8,462 60%
Victim Of Violent Crime $14,900 106%
Onecare $17,694 - $18,625 125%
Humana $17,783 126%
Aetna $18,625 132%
Apex Hospice $18,625 132%
Astiva $18,625 132%
Blue Shield Of California $18,625 - $49,357 132%
Caloptima $18,625 132%
Central Health Plan $18,625 132%
Choice Physicians Network $18,625 132%
Citizen Choice Health Plan $18,625 132%
Clever Care $18,625 132%
Easy Choice $18,625 132%
For Your Benefit $18,625 132%
Healthcare Partners Sr Hmo $18,625 132%
Hollywood Presbyterian $18,625 132%
Imperial Health Plan Of Ca $18,625 132%
Innovative Integrated Health $18,625 132%
Kaiser $18,625 132%
Medcare Partners Health Plan $18,625 132%
Medicare (plans) $18,625 132%
Monarch Sr $18,625 132%
Onecare/Connect $18,625 132%
Prospect Health Plan $18,625 - $27,938 132%
Scan Health Plan $18,625 132%
Self Pay $18,625 132%
St Joseph $18,625 132%
UnitedHealthcare $18,625 132%
Us Department Of Labor/Workers Comp $18,625 132%
Us Federal Marshall/Department Of Immigration $18,625 132%
Velocity National Provider Network Sr $18,625 132%
Verda Health Plan $18,625 132%
Veterans Administration $18,625 132%
Victoria Hospice $18,625 132%
Brand New Day $19,743 - $23,282 140%
Champion Health Plan $20,115 142%
Prime Health Services $21,419 - $26,317 152%
County Of Orange $23,282 165%
Coventry Health $26,317 - $27,779 186%
Interplan $26,609 188%
Multiplan $28,656 203%
Three Rivers Wc $28,656 203%
Indemnity Workers Comp California Fee Schedule $29,241 207%
Velocity National Provider Network Wc $29,241 207%
Three Rivers Network $32,594 231%
Velocity National Provider Network Ppo $32,594 231%
Silverado Hospice $62,888 445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 E Chapman Ave, Orange, CA 92869
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals