CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Straub Clinic and Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $8,218
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Straub Clinic and Hospital is $8,218. 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 0.58x the Medicare baseline. Located in 888 S King Street, Honolulu, HI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,218

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: $8,218 (58%)

Ins. Median: $8,218 (58% 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
UnitedHealthcare	$1,800 - $2,000	13%
Hcha	$4,310	31%
Verdegard	$4,554	32%
Calvos	$5,133	36%
Mdx	$5,521 - $19,368	39%
Pac Admin	$5,525	39%
Uha	$5,703	40%
Mimoh	$5,705	40%
Hwmg/Hmaa	$6,305	45%
Alohacare	$19,368	137%
Hmsa	$19,368 - $47,480	137%
Ohana	$19,755	140%
Devoted	$20,336	144%
Kaiser	$48,030	340%

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 Straub Clinic and Hospital 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.