CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,656

about 1.3× the $14,117 Medicare rate · typically $16,816–$20,687

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,721

About the fair price

about $65 over the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $18,656 This hospital $18,721

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 $18,721

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 $18,656 (about 1.3× the $14,117 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $18,721 — about the fair price. Located in Sanford, FL.

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✓ Humana Kaiser 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	$4,328 - $17,415	31%
Blue Cross Blue Shieldmajor	$17,589 - $30,630	125%
Aetnamajor	$17,850 - $39,146	126%
Cignamajor	$2,834 - $43,024	20%
Humanamajor	$7,247 - $24,846	51%
AvMed	$2,968 - $33,375	21%
Devoted Health	$17,763	126%
Molina	$2,201 - $18,460	16%
Oscar Health	$26,364	187%
Simply Healthcare	$45,262	321%
WellCare	$18,721	133%
WellMed	$17,066	121%
+ 20 smaller / regional plans	$2,348 - $31,127

Excludes 1 rental-network / third-party entry (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, 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 Central Florida Lake Monroe 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 Central Florida Lake Monroe Hospital

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.