CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Florida Jfk Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $17,312
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at HCA Florida Jfk Hospital is $17,312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,312

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%)
Insurance Median: $17,312 (123%)
Ins. Median: $17,312 (123% 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
Avmed $1,715 - $17,881 12%
Molina $1,834 - $18,696 13%
Sunshine State Health Plan $1,984 - $9,929 14%
Cigna $2,102 - $39,245 15%
Humana $2,139 - $49,929 15%
United $2,700 - $17,312 19%
Oscar $15,820 - $18,004 112%
Palm Beach Pace $16,446 116%
Wellmed $16,792 119%
Careplus Sfl $17,312 123%
United Behavioral Health $17,312 123%
Veterans Evaluation Services $17,312 123%
Blue Cross Blue Shield $17,485 - $29,211 124%
Devoted Health $17,658 125%
Mmm Of Fl (Health Advantage Plan) $17,658 125%
Aetna $17,744 - $43,921 126%
Amerihealth Caritas $17,831 - $37,044 126%
Sunshine State $17,831 - $19,043 126%
Health Sun Health Plan $18,004 128%
Longevity Health Plan $18,004 128%
Prominence Healthfirst $18,004 128%
Align $18,350 130%
American Health Plan $18,350 130%
Florida Complete Care $18,350 130%
Freedom Health $18,350 130%
Optimum $18,350 130%
Simply Healthcare Plans $18,696 132%
Aids Healthcare $18,870 134%
Doctors Healthcare Plan $18,870 134%
Centurion $19,043 135%
Gold Kidney $19,389 137%
Solis Health Plan $19,389 137%
Ndms Definitive Care $21,639 153%
Simply Healthcare $37,100 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals