CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Spanish Peaks Regional Health Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$21,547

about 1.5× the $14,117 Medicare rate · typically $10,094–$34,268

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $21,547 Cash price $18,838 Hospital's list price $20,931

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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$19,466 - $24,084	138%
Blue Cross Blue Shieldmajor	$18,838 - $24,084	133%
Cignamajor	$18,838	133%
Humanamajor	$24,084	171%
Devoted Health	$25,288	179%
+ 5 smaller / regional plans	$18,838 - $19,466

Government programs also on file: Medicare.

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 18,838), 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 Spanish Peaks Regional Health Center 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 Spanish Peaks Regional Health Center

Compare: Sepsis treatment (inpatient stay) at other CO hospitals

HCA Healthone Spalding Rehabilitation · Aurora $7,997
San Luis Valley Regional Medical Center · Alamosa $12,491
Animas Surgical Hospital, LLC · Durango $14,642
Montrose Regional Health · Montrose $15,078
Centura Health-Penrose St Francis Health Services · Colorado Springs $15,607
HCA Healthone Rose · Denver $16,085
Community Hospital · Grand Junction $16,102
Hca-Healthone DBA Swedish Medical Center · Englewood $16,810

Insurance negotiated median for the same procedure, sorted lowest first.