CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Veterans Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,266

about 1.5× the $14,117 Medicare rate · typically $11,427–$30,941

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $21,266 Cash price $9,670 Hospital's list price $16,966

How we calculate the fair BaseRate →

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$8,400 - $14,421	60%
Aetnamajor	$8,400 - $11,672	60%
Humanamajor	$8,400 - $12,724	60%
Amerigroup	$8,400 - $17,177	60%
Medica	$8,400 - $19,551	60%
Molina	$8,400 - $17,177	60%
Quartz	$8,400 - $9,000	60%
+ 4 smaller / regional plans	$8,400 - $17,177

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 (about 9,670), 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 Veterans Memorial 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 Veterans Memorial Hospital

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

Henry County Health Center · Mount Pleasant $13,069
Mary Greeley Medical Center · Ames $13,504
Grinnell Regional Medical Center · Grinnell $13,643
University of Iowa Health Care Medical Center Down · Iowa City $14,198
St Lukes Hospital · Cedar Rapids $14,587
Allen Hospital · Waterloo $14,749
Mercyone Oelwein Medical Center · Oelwein $15,131
Spencer Municipal Hospital · Spencer $15,325

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