CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Florida Trinity Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $18,810
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at HCA Florida Trinity Hospital is $18,810. 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 1.33x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,810

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: $18,810 (133%)
Ins. Median: $18,810 (133% 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
Molina $1,834 - $19,742 13%
Avmed $2,215 - $32,334 16%
Sunshine State Health Plan $2,381 - $11,906 17%
Cigna $3,130 - $42,516 22%
United $4,000 - $18,624 28%
Humana $4,363 - $50,895 31%
Blue Cross Blue Shield $15,224 - $22,724 108%
Careplus $18,065 128%
Wellmed $18,252 129%
Access 2 Healthcare Physicians Freedom Optimum Group Members $18,624 132%
Sunshine State $18,624 132%
Ultimate Health Plan $18,624 132%
United Behavioral Health $18,624 132%
United Va Ccn $18,624 132%
Wellcare $18,624 132%
Access 2 Healthcare Physicians Freedom Health $18,810 133%
Access 2 Healthcare Physicians Optimum $18,810 133%
Aetna $18,810 - $47,565 133%
Freedom Health Care $18,810 133%
Optimum Healthcare $18,810 133%
Oscar $18,897 134%
Devoted Health $18,997 135%
Simply Healthcare $19,555 - $36,358 139%
American Health Plan $19,742 140%
Align Senior Care $20,114 142%
Florida Complete Care $20,114 142%
Longevity Health Plan $20,114 142%
Secur $20,114 142%
Gold Kidney Of Florida $20,300 144%
Centurion $20,487 145%
Pasco Sheriff'S Office $20,487 145%
Solis Health Plan $20,487 145%
Baycare Health Plans $21,045 149%
Truli $21,242 150%
Evolutions Healthcare Systems $22,242 158%
Ndms Definitive Care $23,280 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals