CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,780

about 1.1× the $14,117 Medicare rate · typically $14,053–$22,792

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,212

About the fair price

about $1,568 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $15,780 This hospital $14,212

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $14,212 Priciest $36,140

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 $15,780 (about 1.1× the $14,117 Medicare rate). Idaho Falls Community Hospital, LLC charges insurers about $14,212 — about the fair price. Located in Idaho Falls, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$14,212 - $25,774	101%
Blue Cross Blue Shieldmajor	$14,212	101%
Aetnamajor	$14,212	101%
Humanamajor	$14,212	101%
Molina	$14,212	101%
PacificSource	$14,212 - $32,762	101%
SelectHealth	$14,212	101%
+ 2 smaller / regional plans	$14,212

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 Idaho Falls Community Hospital, LLC 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 Idaho Falls Community Hospital, LLC

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

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
Saint Alphonsus Medical Center - Nampa · Nampa $36,140

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