CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $28,958
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Southeast Georgia Health System -- Camden Campus is $28,958. 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 2.05x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$28,958

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: $28,958 (205%)

Ins. Median: $28,958 (205% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$20,756 - $28,958	147%
Caresource	$22,120 - $33,180	157%
Humana	$22,120 - $36,299	157%
UnitedHealthcare	$22,120	157%
United_Healthcare_Veterans_Administration	$22,120	157%
Aetna	$22,562 - $34,668	160%
Clover_Health	$22,562	160%
Devoted_Health	$23,005	163%
Pruitthealth	$23,226	165%
Sea_Island	$28,958	205%
Sghs_Meritain	$28,958	205%
Coventryone_Hix	$30,997	220%
United_Healthcare	$31,487	223%
Medishare	$34,668	246%
Ambetter / Centene	$35,392	251%
Choicecare	$36,299	257%
Cigna	$36,299	257%
Industry_Buying_Group_Ibg	$36,299	257%
First_Health_Southcare	$36,707	260%
One_Health_Great_West	$36,707	260%
Pponext	$38,747	274%

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 Southeast Georgia Health System -- Camden Campus 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.