CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $17,731
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Halifax Health /UF Health Medical Center of Delton is $17,731. 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 1.26x the Medicare baseline. Located in 3300 Halifax Crossings Blvd, Deltona, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,731

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: $17,731 (126%)

Ins. Median: $17,731 (126% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$12,303 - $13,053	87%
Americas Choice Provider Network	$13,053	92%
Blue Cross Blue Shield	$13,053 - $37,747	92%
Cigna	$13,053	92%
Coventry	$13,053	92%
Molina	$13,314	94%
Devoted Health	$13,575	96%
Clear Spring Health Of Fl	$14,228	101%
Freedom Health	$16,887	120%
Humana	$16,887 - $36,814	120%
Optimum Healthcare	$16,887	120%
Sunshine State Health Plan	$16,887 - $33,774	120%
UnitedHealthcare	$16,887	120%
Wellcare	$16,887	120%
Independent Living Systems	$17,731	126%
Longevity	$17,731	126%
Medicare (plans)	$17,731	126%
Prime Health Services	$17,731	126%
Tricare	$18,447	131%
Employers Health Network	$26,145	185%
Centivo	$26,452	187%
Fhcp	$31,579	224%
Florida Healthcare	$37,151	263%
Claimdoc	$37,996	269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Halifax Health /UF Health Medical Center of Delton is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.