CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ascension Sacred Heart Gulf

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,381

about 1.3× the $14,117 Medicare rate · typically $14,789–$23,210

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,857

Below the fair price — a good deal

about $6,524 under the fair price · 0.8× Medicare

Medicare pays $14,117 Fair price $18,381 This hospital $11,857

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $11,696 Priciest $15,160

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $18,381 (about 1.3× the $14,117 Medicare rate). Ascension Sacred Heart Gulf charges insurers about $11,857 — below the fair price — a good deal. Located in Port Saint Joe, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$11,626 - $18,979	82%
Blue Cross Blue Shieldmajor	$9,333 - $17,170	66%
Aetnamajor	$11,857 - $17,722	84%
Cignamajor	$11,580	82%
Humanamajor	$11,857	84%
Ambetter (Centene)	$18,993	135%
Cigna HealthSpring	$11,741	83%
Oscar Health	$18,418	130%
WellCare	$11,511	82%
+ 4 smaller / regional plans	$11,511 - $25,900

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Ascension Sacred Heart Gulf is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension Sacred Heart Gulf

Compare: Sepsis treatment (inpatient stay) at other FL hospitals

Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,696
Ascension Sacred Heart Bay · Panama City $11,726
Sacred Heart Hospital · Pensacola $12,487
Ascension St Vincent's Riverside · Jacksonville $14,800
Ascension St Vincent's Clay County · Middleburg $14,888
Ascension St Vincent's Southside · Jacksonville $14,890
Jay Hospital · Jay $15,144
HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $15,160

Insurance negotiated median for the same procedure, sorted lowest first.