CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University of Illinois Hospital and Clinics

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $4,103
Cash Discount Price: $61,425
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at University of Illinois Hospital and Clinics is $4,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61,425. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.

Cash / Self-Pay

$61,425

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,103

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: $61,425 (435%)

Insurance Median: $4,103 (29%)

Cash: $61,425 (435% of Medicare)

Ins. Median: $4,103 (29% 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
Blue Cross Blue Shield	$2,273 - $13,619	16%
Caterpillar	$2,330	17%
Aetna	$3,130 - $13,619	22%
Dolton Medical Associates	$4,103	29%
Fox Valey Medicine Ltd	$4,103	29%
Franciscan Hammond Clinic Llc	$4,103	29%
Humboldt Park Health Partners	$4,103	29%
Lake County Physician Associates	$4,103	29%
Mac Neal Health Providers	$4,103	29%
Mercy Physician Association	$4,103	29%
Northshore Physician Association	$4,103	29%
Northwest Primary Care Alliance	$4,103	29%
Oak West Primary Care Alliance	$4,103	29%
Physician Care Network Inc	$4,103	29%
Physicians Health Association Of Il	$4,103	29%
Resurrection Phys Provider Group	$4,103	29%
Sinai Medical Group	$4,103	29%
Southwest Physician Group Ltd	$4,103	29%
St Anthony Health Network	$4,103	29%
The University Of Chicago Medical Center	$4,103	29%
Uic Physician Group	$4,103	29%
Unified Physicians Network	$4,103	29%
West Suburban Health Providers	$4,103	29%
Coventry	$13,619	96%
Health Alliance	$13,619	96%
Longevity Health Plan	$13,619	96%
Medicare (plans)	$13,619	96%
Wellcare	$13,619	96%

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 $61,425.
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 University of Illinois Hospital and Clinics 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.