CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Leahi Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$28,263

about 2.0× the $14,117 Medicare rate · typically $12,947–$43,509

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,580

Below the fair price — a good deal

about $8,683 under the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $28,263 This hospital $19,580

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

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 $28,263 (about 2.0× the $14,117 Medicare rate). Leahi Hospital charges insurers about $19,580 — below the fair price — a good deal. Located in Honolulu, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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	$19,580	139%
Humanamajor	$19,580	139%
Kaiser Permanentemajor	$19,580	139%
+ 3 smaller / regional plans	$19,580 - $40,815

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 Leahi Hospital 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 Leahi Hospital

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

The Queens Medical Center · Honolulu $20,117
Straub Clinic and Hospital · Honolulu $20,336
Kuakini Medical Center · Honolulu $20,548
Pali Momi Medical Center · Aiea $20,723
North Hawaii Community Hospital, Inc · Kamuela $21,753
Wilcox Memorial Hospital · Lihue $24,923
Kohala Hospital · Kapaau $28,814
Adventist Health Castle · Kailua $30,829

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