Sepsis treatment (inpatient stay)
Facility: Larkin Community Hospital
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $18,869
- Cash Discount Price: $84,757
- vs. Medicare Baseline: 1.34x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Managed Care Concepts Behavioral-All Plans | $4,950 | 35% |
| Cigna | $7,200 - $15,233 | 51% |
| Florida Health Solution/Hmo-All Plans | $10,800 | 77% |
| Medicare (plans) | $11,300 - $23,989 | 80% |
| Humana | $12,575 - $27,485 | 89% |
| Jmh Health Plan Hmo/Ppo-All Other Plans | $14,367 | 102% |
| UnitedHealthcare | $14,452 - $27,485 | 102% |
| Blue Cross Blue Shield | $15,682 - $25,767 | 111% |
| United Prop Casualty-All Plans | $16,123 | 114% |
| Corvel Mcare Workers Comp-All Plans | $16,982 | 120% |
| Molina Exch Marketplace-All Other Plans | $16,982 | 120% |
| Bright Health-All Other Plans | $18,401 | 130% |
| Aetna | $18,868 - $27,485 | 134% |
| Ambetter / Centene | $18,868 | 134% |
| First Med Hp Of Fl-All Plans | $18,868 | 134% |
| Florida Comm Care Mcaid | $18,868 | 134% |
| Florida Comm Care Mcare-All Other Plans | $18,868 | 134% |
| Odyssey Health Mcare Ip Only | $18,868 | 134% |
| Ops Maritime-All Plans | $18,868 | 134% |
| Preferred Care Partners Mcare-All Plans | $18,868 | 134% |
| Medicaid / KanCare | $19,240 - $28,866 | 136% |
| Clear Springs Hlth-All Plans | $19,812 | 140% |
| Unicare Simply Mcare Ppo-All Plans | $19,812 | 140% |
| Wellpath-All Plans | $20,755 | 147% |
| Careplus Health-All Other Plans | $20,831 | 148% |
| Healthsun-All Plans | $21,209 | 150% |
| Centurion-All Plans | $21,239 | 150% |
| Coventry Comml-All Plans | $22,642 | 160% |
| Global Excel-All Plans | $22,642 | 160% |
| Guardian Life-All Plans | $22,642 | 160% |
| Haa Preferred Partners-All Plans | $22,642 | 160% |
| Doctors Healthcare-All Plans | $22,916 | 162% |
| Fci-All Plans | $23,586 | 167% |
| Allianz (Azga)-All Plans | $24,529 | 174% |
| Federal Detention Center Ip Only-All Plans | $24,529 | 174% |
| Corvel Mcaid Workers Comp | $24,725 | 175% |
| Fdc-All Plans | $26,416 | 187% |
| Community Care Phks Mcaid-All Other Plans | $27,485 | 195% |
| Magellan Complete Care | $27,485 | 195% |
| Odyssey Health Mcaid Ip Only | $27,485 | 195% |
| Star Network-All Plans | $48,432 | 343% |
| Oscar Health-All Plans | $52,476 | 372% |
| Odyssey Health Ip Only-All Other Plans | $115,027 | 815% |
| Avmed-All Plans | $121,081 | 858% |