Sepsis treatment (inpatient stay)
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 871 (MS-DRG)
This hospital's typical commercial price is $36,140 compared to the $27,324 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.32× fair market pricing.
Highest price of the 9 ID hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Sepsis treatment (inpatient stay) is about $27,324 (about 1.9× the $14,117 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $36,140, or about $41,388 in cash — above the fair price. Located in Boise, ID.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27,324. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $16,356 | 116% |
| Blue Cross Blue Shieldmajor | $16,356 - $41,922 | 116% |
| Aetnamajor | $16,847 | 119% |
| Cignamajor | $68,017 | 482% |
| Humanamajor | $16,946 | 120% |
| Kaiser Permanentemajor | $36,140 | 256% |
| Moda Health | $16,683 - $30,042 | 118% |
| Molina | $39,389 | 279% |
| Priority Health | $68,017 | 482% |
| SelectHealth | $31,287 - $34,608 | 222% |
| + 11 smaller / regional plans | $17,010 - $68,017 |
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.
Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Sepsis treatment (inpatient stay) at other ID hospitals
- Idaho Falls Community Hospital, LLC · Idaho Falls $14,212
- Northwest Specialty Hospital · Post Falls $14,316
- Mountain View Hospital · Idaho Falls $15,422
- Kootenai Health · Coeur D'Alene $16,340
- Treasure Valley Hospital · Boise $16,343
- Eastern Idaho Regional Medical Center · Idaho Falls $16,966
- West Valley Medical Center · Caldwell $17,476
- Madison Memorial Hospital · Rexburg $17,840
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Alphonsus Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $31,485
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $31,485).
Self-Pay Cash Rate ($41,388) Beats Your Bill
Saint Alphonsus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $41,388 (vs. $36,140 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $27,324 Fair BaseRate ($14,117 Medicare)
Your bill ($86,736) is $59,412 above the denoised Fair BaseRate ($27,324) and 6.1× the $14,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.