CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University Hospital and Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $17,120
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at University Hospital and Medical Center is $17,120. 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 1.21x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17,120

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: $17,120 (121%)
Ins. Median: $17,120 (121% 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 - $17,792 13%
Sunshine State Health Plan $2,017 - $10,099 14%
Cigna $2,102 - $39,245 15%
Humana $2,139 - $49,929 15%
United $2,700 - $16,785 19%
Oscar $15,820 - $16,953 112%
Wellmed $16,281 115%
Careplus Sfl $16,785 119%
United Behavioral Health $16,785 119%
Veterans Evaluation Services $16,785 119%
Blue Cross Blue Shield $16,953 - $29,211 120%
Align $17,120 121%
Devoted Health $17,120 121%
Florida Complete Care $17,120 121%
Aetna $17,204 - $43,921 122%
Doctors Healthcare Plan $17,456 124%
Health Sun Health Plan $17,456 124%
Prominence Healthfirst $17,456 124%
Simply Healthcare Plans $17,624 125%
American Health Plan $17,792 126%
Freedom Health $17,792 126%
Mmm Of Fl (Health Advantage Plan) $17,792 126%
Optimum $17,792 126%
Solis Health Plan $17,792 126%
Amerihealth Caritas $17,960 - $37,044 127%
Longevity Health Plan $17,960 127%
Sunshine State $17,960 - $18,463 127%
Centurion $18,463 131%
Gold Kidney $18,799 133%
Ndms Definitive Care $20,981 149%
Simply Healthcare $37,100 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7201 N University Dr, Tamarac, FL 33321
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals