CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Adventist Health Clearlake

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$31,299

about 2.2× the $14,117 Medicare rate · typically $14,002–$46,364

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $31,299 Cash price $32,912 Hospital's list price $91,422

How we calculate the fair BaseRate →

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	$56,833 - $76,246	403%
Blue Cross Blue Shieldmajor	$51,666 - $186,378	366%
Aetnamajor	$68,310	484%
Cignamajor	$82,279	583%
Humanamajor	$77,708	550%
Kaiser Permanentemajor	$51,666 - $82,279	366%
Health Net	$74,966	531%
+ 6 smaller / regional plans	$35,128 - $77,708

Government programs also on file: Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 32,912), 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 Adventist Health Clearlake 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 Adventist Health Clearlake

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.