CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Piedmont Macon North Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,284
about 1.7× the $14,117 Medicare rate · typically $15,848–$28,389
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,660
About the fair price
about $3,376 over the fair price · 2.0× Medicare
Medicare pays $14,117 Fair price $24,284 This hospital $27,660 Cash price $13,398 Hospital's list price $44,660

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $11,570 Priciest $27,660

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

A fair price for a Sepsis treatment (inpatient stay) is about $24,284 (about 1.7× the $14,117 Medicare rate). Piedmont Macon North Hospital charges insurers about $27,660, or about $13,398 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $12,846 - $35,771 91%
Blue Cross Blue Shieldmajor $20,433 - $43,493 145%
Aetnamajor $28,891 205%
Cignamajor $44,660 316%
Ambetter (Centene) $25,003 177%
CareSource $26,429 187%
+ 2 smaller / regional plans $13,030 - $13,153
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Charter Boulevard, Macon, GA 31210
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals