CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Florida Brandon Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $20,325
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at HCA Florida Brandon Hospital is $20,325. 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 1.44x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$20,325

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: $20,325 (144%)
Ins. Median: $20,325 (144% 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 - $21,331 13%
Avmed $1,845 - $32,334 13%
Sunshine State Health Plan $2,381 - $11,906 17%
Cigna $3,130 - $42,516 22%
United $4,000 - $20,124 28%
Humana $4,363 - $50,895 31%
Hillsborough County $7,917 56%
Blue Cross Blue Shield $18,004 - $24,085 128%
Truli $18,004 128%
Oscar $18,897 134%
Wellmed $19,721 140%
Access 2 Healthcare Physicians Freedom Optimum Group Members $20,124 143%
Lifepath Hospice $20,124 143%
Ultimate Health Plan $20,124 143%
United Behavioral Health $20,124 143%
United Va Ccn $20,124 143%
Access 2 Healthcare Physicians Freedom Health $20,325 144%
Access 2 Healthcare Physicians Optimum $20,325 144%
Aetna $20,325 - $47,565 144%
Freedom Health Care $20,325 144%
Optimum Healthcare $20,325 144%
Careplus $20,526 145%
Devoted Health $20,526 145%
Clear Spring Health $21,130 150%
American Health Plan $21,331 151%
Align Senior Care $21,532 153%
Florida Complete Care $21,532 153%
Simply Healthcare $21,532 - $34,132 153%
Longevity Health Plan $21,734 154%
Secur $21,734 154%
Gold Kidney Of Florida $21,935 155%
Centurion $22,136 157%
Solis Health Plan $22,136 157%
Evolutions Healthcare Systems $22,242 158%
Baycare Health Plans $22,740 161%
Sunshine State $23,645 167%
Wellcare $23,645 167%
Ndms Definitive Care $25,155 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals