CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University of Miami Hospital and Clinics

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$27,817

about 2.0× the $14,117 Medicare rate · typically $12,986–$54,961

modeled estimate · not a bill or quote

What this hospital charges insurers

$25,745

About the fair price

about $2,072 under the fair price · 1.8× Medicare

Medicare pays $14,117 Fair price $27,817 This hospital $25,745

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $11,696 Priciest $25,745

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

A fair price for a Sepsis treatment (inpatient stay) is about $27,817 (about 2.0× the $14,117 Medicare rate). University of Miami Hospital and Clinics charges insurers about $25,745 — about the fair price. Located in Miami, FL.

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✓ Aetna✓ Cigna HumanaKaiser 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	$24,250 - $27,655	172%
Blue Cross Blue Shieldmajor	$21,131 - $31,066	150%
Aetnamajor	$18,547 - $27,135	131%
Cignamajor	$22,733 - $27,389	161%
AmeriHealth	$24,272	172%
AvMed	$31,424 - $35,410	223%
Molina	$22,650	160%
Oscar Health	$24,040	170%
+ 2 smaller / regional plans	$25,470 - $29,060

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, 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 University of Miami Hospital and Clinics 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 University of Miami Hospital and Clinics

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

Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,696
Ascension Sacred Heart Bay · Panama City $11,726
Ascension Sacred Heart Gulf · Port Saint Joe $11,857
Sacred Heart Hospital · Pensacola $12,487
Ascension St Vincent's Riverside · Jacksonville $14,800
Ascension St Vincent's Clay County · Middleburg $14,888
Ascension St Vincent's Southside · Jacksonville $14,890
Jay Hospital · Jay $15,144

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