CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Hartford Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $10,770
  • Cash Discount Price: $102,687
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Hartford Hospital is $10,770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102,687. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.76x the Medicare baseline. Located in 80 Seymour Street, Hartford, CT.
Cash / Self-Pay
$102,687

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,770

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: $102,687 (727%)
Insurance Median: $10,770 (76%)
Cash: $102,687 (727% of Medicare)
Ins. Median: $10,770 (76% 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.

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
Aetna $10,010 - $10,796 71%
Blue Cross Blue Shield $10,533 - $29,280 75%
Health New England $10,533 75%
Molina DBA Connecticare $10,533 - $33,730 75%
Tufts $10,533 75%
United $10,533 - $27,666 75%
Wellcare $10,744 76%
Cigna $28,770 204%
Oxford $29,000 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Seymour Street, Hartford, CT 06102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals