CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Pali Momi Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,720
about 1.5× the $14,117 Medicare rate · typically $12,846–$29,317
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,723
About the fair price
about $3 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $20,720 This hospital $20,723

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 HI hospitals compared.

Cheapest $19,580 Priciest $30,829

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

A fair price for a Sepsis treatment (inpatient stay) is about $20,720 (about 1.5× the $14,117 Medicare rate). Pali Momi Medical Center charges insurers about $20,723 — about the fair price. Located in Aiea, HI.

What each insurance company pays

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

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

✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana

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
Kaiser Permanentemajor $49,121 348%
Devoted Health $20,822 147%
+ 7 smaller / regional plans $4,430 - $46,152

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals