CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Franciscan Health Olympia & Chicago Heights

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $5,419
Cash Discount Price: $14,872
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Franciscan Health Olympia & Chicago Heights is $5,419. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,872. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.38x the Medicare baseline. Located in 20201 S Crawford Avenue, Olympia Fields, IL.

Cash / Self-Pay

$14,872

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,419

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: $14,872 (105%)

Insurance Median: $5,419 (38%)

Cash: $14,872 (105% of Medicare)

Ins. Median: $5,419 (38% 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
Commercial [2001]	$4,926 - $48,562	35%
Managed Care [2000]	$4,926 - $48,562	35%
United Medical Resources [1158]	$4,926 - $5,419	35%
United Medical Resources [1301]	$4,926 - $5,419	35%
UnitedHealthcare	$4,926 - $5,419	35%
Blue Cross Blue Shield	$5,050 - $29,138	36%
Medicare (plans)	$14,433 - $16,905	102%
Workers Comp [1172]	$33,809	239%

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 $14,872.
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 Franciscan Health Olympia & Chicago Heights 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.