CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Mary's Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,142

about 1.6× the $14,117 Medicare rate · typically $15,226–$40,448

modeled estimate · not a bill or quote

What this hospital charges insurers

$37,822

Above the fair price

about $14,680 over the fair price · 2.7× Medicare

Medicare pays $14,117 Fair price $23,142 This hospital $37,822 Cash price $25,106

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $9,006 Priciest $37,822

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $23,142 (about 1.6× the $14,117 Medicare rate). Saint Mary's Hospital charges insurers about $37,822, or about $25,106 in cash — above the fair price. Located in Waterbury, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $23,142. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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	$18,316 - $45,771	130%
Blue Cross Blue Shieldmajor	$18,316 - $37,822	130%
Aetnamajor	$9,814 - $37,684	70%
Cignamajor	$18,866 - $46,616	134%
Kaiser Permanentemajor	$37,822	268%
GEHA	$45,771	324%
Harvard Pilgrim	$45,771	324%
HealthPartners	$46,616	330%
MagnaCare	$46,616	330%
UniCare	$37,822	268%
+ 18 smaller / regional plans	$9,814 - $46,616

Government programs also on file: Medicare.

Excludes 2 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 25,106), 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 Saint Mary's Hospital 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 Saint Mary's Hospital

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

Midstate Medical Center · Meriden $9,006
Charlotte Hungerford Hospital · Torrington $9,050
William W Backus Hospital · Norwich $9,169
The Hospital of Central Connecticut · New Britain $10,018
Windham Community Memorial Hospital · Willimantic $13,079
Hartford Hospital · Hartford $16,378
Bristol Hospital · Bristol $18,962
St Vincent's Medical Center · Bridgeport $21,665

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