CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Joseph Hospital-Elgin

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,355
about 1.2× the $14,117 Medicare rate · typically $15,195–$22,955
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,957
About the fair price
about $398 under the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $17,355 This hospital $16,957 Cash price $16,149

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 $16,957

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 $17,355 (about 1.2× the $14,117 Medicare rate). Saint Joseph Hospital-Elgin charges insurers about $16,957, or about $16,149 in cash — about the fair price. Located in Elgin, 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 $16,150 114%
Blue Cross Blue Shieldmajor $15,342 - $26,334 109%
Aetnamajor $16,150 - $41,801 114%
Cignamajor $16,150 - $16,716 114%
Humanamajor $16,150 - $17,765 114%
Ambetter (Centene) $26,162 185%
Devoted Health $16,150 114%
Health Net $19,380 137%
Meridian $16,957 120%
Molina $16,634 - $24,225 118%
WellCare $16,150 114%
+ 6 smaller / regional plans $16,150 - $25,032
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 77 N Airlite Street, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals