CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $18,366
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at HCA Florida Bayonet Point Hospital is $18,366. 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 1.30x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,366

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: $18,366 (130%)
Ins. Median: $18,366 (130% 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 - $19,181 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 - $18,095 28%
Humana $4,363 - $50,895 31%
Careplus $17,733 - $20,809 126%
Wellmed $17,733 126%
Access 2 Healthcare Physicians Freedom Optimum Group Members $18,095 128%
Sunshine State $18,095 128%
Ultimate Health Plan $18,095 128%
United Va Ccn $18,095 128%
Wellcare $18,095 128%
Access 2 Healthcare Physicians Freedom Health $18,276 129%
Access 2 Healthcare Physicians Optimum $18,276 129%
Aetna $18,276 - $47,565 129%
Blue Cross Blue Shield $18,276 - $25,582 129%
Freedom Health Care $18,276 129%
Optimum Healthcare $18,276 129%
Devoted Health $18,457 131%
Oscar $18,897 134%
Simply Healthcare $19,000 - $36,358 135%
American Health Plan $19,181 136%
Align Senior Care $19,362 137%
Florida Complete Care $19,362 137%
Longevity Health Plan $19,543 138%
Secur $19,543 138%
Gold Kidney Of Florida $19,724 140%
Centurion $19,905 141%
Solis Health Plan $19,905 141%
Truli $20,261 - $23,913 144%
Baycare Health Plans $20,447 145%
Evolutions Healthcare Systems $22,242 158%
Ndms Definitive Care $22,619 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Fivay Rd, Hudson, FL 34667
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals