CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$26,287

about 1.9× the $14,117 Medicare rate · typically $11,962–$38,189

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,898

Below the fair price — a good deal

about $3,389 under the fair price · 1.6× Medicare

Medicare pays $14,117 Fair price $26,287 This hospital $22,898

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 $22,898

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 $26,287 (about 1.9× the $14,117 Medicare rate). Atrium Health Navicent Rehabilitation Hopsital charges insurers about $22,898 — below the fair price — a good deal. 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.

6 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	$17,804 - $45,058	126%
Blue Cross Blue Shieldmajor	$17,804 - $27,597	126%
Aetnamajor	$17,804 - $27,852	126%
Cignamajor	$22,898	162%
Humanamajor	$17,804 - $38,248	126%
Kaiser Permanentemajor	$34,203	242%
Clover Health	$18,160	129%
+ 7 smaller / regional plans	$17,741 - $40,133

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 Atrium Health Navicent Rehabilitation Hopsital 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 Atrium Health Navicent Rehabilitation Hopsital

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

Coffee Regional Medical Center, Inc · Douglas $11,570
Bacon County Hospital · Alma $12,833
Northside Hospital Forsyth · Cumming $14,315
Phoebe Putney Memorial Hospital · Albany $14,925
Wellstar Paulding Medical Center · Hiram $15,135
Doctors Hospital · Augusta $15,152
Wellstar North Fulton Medical Center · Roswell $15,246
Fairview Park Hospital · Dublin $15,255

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