CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ascension St Vincent's Clay County

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,116

about 1.4× the $14,117 Medicare rate · typically $14,904–$28,936

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,888

Below the fair price — a good deal

about $4,228 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $19,116 This hospital $14,888

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

A typical price — 3 charge more and 5 charge less, among the 9 FL hospitals compared.

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 $19,116 (about 1.4× the $14,117 Medicare rate). Ascension St Vincent's Clay County charges insurers about $14,888 — below the fair price — a good deal. Located in Middleburg, 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	$11,726 - $19,683	83%
Blue Cross Blue Shieldmajor	$1,947 - $25,295	14%
Aetnamajor	$8,850 - $23,799	63%
Cignamajor	$11,842 - $23,700	84%
Humanamajor	$11,261 - $16,012	80%
Ambetter (Centene)	$22,058	156%
AvMed	$14,888 - $20,897	105%
Bright Health	$15,673	111%
Molina	$21,477	152%
Oscar Health	$18,575	132%
WellCare	$11,609	82%
+ 10 smaller / regional plans	$10,000 - $26,121

Government programs also on file: Medicare, Medicaid, Military & VA.

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 St Vincent's Clay County 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 St Vincent's Clay County

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
Ascension Sacred Heart Gulf · Port Saint Joe $11,857
Sacred Heart Hospital · Pensacola $12,487
Ascension St Vincent's Riverside · Jacksonville $14,800
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.