CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Florida Putnam Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $16,392
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at HCA Florida Putnam Hospital is $16,392. 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 1.16x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,392

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: $16,392 (116%)
Ins. Median: $16,392 (116% 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 Healthcare $2,201 - $16,548 16%
Sunshine State Health Plan $2,336 - $11,680 17%
Cigna $2,374 - $86,279 17%
Avmed $2,968 - $32,131 21%
Humana $4,954 - $17,834 35%
United $6,123 - $15,612 43%
Wellmed $15,300 108%
Blue Cross Blue Shield $15,768 - $28,881 112%
Fl Health Care Plan $15,924 113%
Ultimate Health Plan $15,924 113%
Aetna $16,002 - $33,285 113%
Oscar $16,092 114%
Align Senior Care $16,392 116%
Florida Complete Care $16,392 116%
Longevity Health Plan $16,392 116%
Simply $16,392 116%
American Health Plan $16,548 117%
Gold Kidney Of Florida $17,017 121%
Centurion $17,173 122%
Putnam County Sheriffs $17,173 122%
Sunshine State $17,251 122%
Wellcare $17,251 122%
Ndms Definitive Care $19,515 138%
Evolutions $31,482 223%
Simply Healthcare $36,358 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals