CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Amita Health Resurrection Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $17,222
Cash Discount Price: $17,704
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Amita Health Resurrection Medical Center is $17,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,704. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.22x the Medicare baseline. Located in 7435 W Talcott Avenue, Chicago, IL.

Cash / Self-Pay

$17,704

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Cash / Self-Pay: $17,704 (125%)

Insurance Median: $17,222 (122%)

Cash: $17,704 (125% of Medicare)

Ins. Median: $17,222 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Hfn Inc (Healthcare Finest Network)	$13,931 - $40,921	99%
Blue Cross Blue Shield	$14,873 - $27,976	105%
Aetna	$15,656 - $16,439	111%
Celtic (Wellcare)	$15,656	111%
Cigna	$15,656 - $22,339	111%
Devoted Health	$15,656	111%
Humana	$15,656 - $17,222	111%
Illinois Physicians Alliance	$15,656	111%
Longevity Health Plan Of Illinois	$15,656	111%
UnitedHealthcare	$15,656 - $17,705	111%
Clear Spring Health Of Illinois	$15,813	112%
Molina	$16,126 - $26,557	114%
Zing Health Provider Network	$16,126	114%
Meridian	$16,439	116%
Providers Partners Health Plan	$16,439	116%
Medicare (plans)	$17,705	125%
Self-Pay	$17,705	125%
Tricare	$18,612	132%
Access Community Health Network	$21,246	151%
Keenan	$22,050	156%
Clifton Health System	$27,442	194%
Ambetter / Centene	$28,682	203%
Coventry	$41,801	296%
Workers Comp	$44,001	312%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $17,704.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Amita Health Resurrection Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.