CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Decatur Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,596

about 1.2× the $14,117 Medicare rate · typically $15,075–$19,998

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,484

About the fair price

about $1,112 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $16,596 This hospital $15,484

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $12,312 Priciest $15,484

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $16,596 (about 1.2× the $14,117 Medicare rate). Decatur Memorial Hospital charges insurers about $15,484 — about the fair price. Located in Decatur, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$15,484 - $42,016	110%
Blue Cross Blue Shieldmajor	$15,020 - $15,484	106%
Aetnamajor	$15,484 - $26,806	110%
Cignamajor	$18,807	133%
Humanamajor	$13,339 - $14,545	94%
HealthLink	$16,397	116%
WellCare	$15,484	110%
+ 5 smaller / regional plans	$11,655 - $20,524

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

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Decatur 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 Decatur Memorial Hospital

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

Blessing Hospital · Quincy $12,312
Northwestern Lake Forest Hospital · Lake Forest $12,977
Alexian Brothers Medical Center 1 · Elk Grove Village $13,175
St Alexius Medical Center · Hoffman Estates $13,403
University of Illinois Hospital and Clinics · Chicago $13,619
Northwestern Medicine Delnor Community Hospital · Geneva $14,417
Edward Hospital · Naperville $14,869
Northwest Community Hospital 1 · Arlington Heights $14,881

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