CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Luke's Nampa Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,474

about 1.6× the $14,117 Medicare rate · typically $16,507–$41,016

modeled estimate · not a bill or quote

What this hospital charges insurers

$42,578

Well above the fair price

about $20,104 over the fair price · 3.0× Medicare

Medicare pays $14,117 Fair price $22,474 This hospital $42,578 Cash price $57,474 Hospital's list price $57,474

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $14,212 Priciest $42,578

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 $22,474 (about 1.6× the $14,117 Medicare rate). St Luke's Nampa Medical Center charges insurers about $42,578, or about $57,474 in cash — well above the fair price. Located in Nampa, 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 $22,474. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$16,848	119%
Blue Cross Blue Shieldmajor	$16,206 - $49,563	115%
Aetnamajor	$17,650	125%
PacificSource	$23,251 - $44,906	165%
SelectHealth	$23,251 - $42,578	165%
+ 4 smaller / regional plans	$17,382 - $49,072

Government programs also on file: Medicare, Military & VA.

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 57,474), 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 St Luke's Nampa Medical Center 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 St Luke's Nampa 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
West Valley Medical Center · Caldwell $17,399
Madison Memorial Hospital · Rexburg $17,840
Saint Alphonsus Regional Medical Center · Boise $36,140

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